Higgins, Derek

Higgins, Derek was paid $37K by Medicaid between Jan 2018 and Sep 2021, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.

33Billing provider infoHIGGINS, DEREK
GILBERT, AZ 85234

33aNPI1568611655assigned 09/12/2008

33bProvider typePhysical Medicine & Rehabilitation Physician

28Total paid$37K

24GClaims1,360

24DCodes billed5

24AFirst – last monthJan 2018 – Sep 2021

Compared with peers

Next to other Physical Medicine & Rehabilitation Physician providers in Arizona

Rank by total paid#22 of 48

Median peer was paid$25K

This provider vs. median1.5×

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	407	$8K
2019	321	$7K
2020	277	$8K
2021	355	$13K

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	47%	727	556	$17K
62370		22%	216	189	$8K
76942		17%	298	269	$6K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	12%	105	36	$4K
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	2.0%	14	14	$718.44

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.