Derham, Alivia

Derham, Alivia was paid $72K by Medicaid between Aug 2021 and Mar 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider infoDERHAM, ALIVIA
GALESBURG, IL 61401

33aNPI1386142503assigned 01/23/2018

33bProvider typeNurse Practitioner

28Total paid$72K

24GClaims2,393

24DCodes billed5

24AFirst – last monthAug 2021 – Mar 2024

Compared with peers

Next to other Nurse Practitioner providers in Illinois

Rank by total paid#433 of 1,687

Median peer was paid$22K

This provider vs. median3.3×

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
2021	321	$10K
2022	783	$23K
2023	1,131	$34K
2024incomplete	158	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	46%	1,004	943	$33K
20610		37%	619	440	$27K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	8.1%	142	141	$6K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	6.7%	601	501	$5K
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	1.8%	27	23	$1K

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.