Hylkema, Derek
Hylkema, Derek was paid $31K by Medicaid between Jan 2019 and Nov 2020, across 5 billing codes. Its largest line is 97110, Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion — 88% of everything it billed.
33Billing provider infoHYLKEMA, DEREK
LEXINGTON, TN 38351
LEXINGTON, TN 38351
33aNPI1538176193assigned 08/03/2006
33bProvider typePhysical Therapist
28Total paid$31K
24GClaims1,311
24DCodes billed5
24AFirst – last monthJan 2019 – Nov 2020
Compared with peers
Next to other Physical Therapist providers in Tennessee
Rank by total paid#67 of 136
Median peer was paid$28K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2019 | 759 | $18K | |
| 2020 | 552 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 88% | 1,049 | 254 | $27K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 5.3% | 115 | 43 | $2K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 2.7% | 82 | 27 | $847.44 |
| 97161 | 2.0% | 13 | 13 | $616.95 | |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 1.5% | 52 | 15 | $467.76 |
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.