Derby, Richard

Derby, Richard was paid $55K by Medicaid between Jan 2018 and Feb 2024, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 48% of everything it billed.

33Billing provider infoDERBY, RICHARD
O FALLON, IL 62269

33aNPI1295720845assigned 09/20/2005

33bProvider typeSports Medicine (Family Medicine) Physician

28Total paid$55K

24GClaims1,391

24DCodes billed5

24AFirst – last monthJan 2018 – Feb 2024

Compared with peers

Next to other Sports Medicine (Family Medicine) Physician providers in Illinois

Rank by total paid#20 of 51

Median peer was paid$44K

This provider vs. median1.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	294	$14K
2019	474	$20K
2020	497	$16K
2021	41	$2K
2022	32	$1K
2023	35	$1K
2024incomplete	18	$776.57

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	48%	435	355	$27K
20611		25%	403	266	$14K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	16%	232	169	$9K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	9.9%	162	143	$5K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1.6%	159	96	$891.33

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.