Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Saint Louis › NPI 1396838876
Physician

Derdoy, Jose

Derdoy, Jose was paid $81K by Medicaid between Jan 2018 and May 2020, across 4 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 44% of everything it billed.

33Billing provider infoDERDOY, JOSE
SAINT LOUIS, MO 63141
33aNPI1396838876assigned 10/02/2006
28Total paid$81K
24GClaims1,019
24DCodes billed4
24AFirst – last monthJan 2018 – May 2020
Compared with peers

Next to other Pediatric Gastroenterology Physician providers in Missouri

Rank by total paid#3 of 11
Median peer was paid$31K
This provider vs. median2.6×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018832$72K
201995$5K
202092$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 44% 293 293 $35K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 410 392 $20K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 21% 70 70 $17K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 10% 246 244 $8K

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.