Physician
Hamilton, Derrick
Hamilton, Derrick was paid $1.88M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoHAMILTON, DERRICK
SOMERVILLE, TN 38068
SOMERVILLE, TN 38068
33aNPI1730189945assigned 07/29/2005
33bProvider typePediatric Emergency Medicine (Emergency Medicine) Physician
28Total paid$1.88M
24GClaims95,158
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Emergency Medicine (Emergency Medicine) Physician providers in Tennessee
Rank by total paid#3 of 9
Median peer was paid$217K
This provider vs. median8.7×
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 | 5,273 | $102K | |
| 2019 | 9,582 | $165K | |
| 2020 | 14,784 | $256K | |
| 2021 | 15,058 | $312K | |
| 2022 | 16,868 | $301K | |
| 2023 | 16,856 | $382K | |
| 2024incomplete | 16,737 | $358K |
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 | 32% | 13,570 | 10,924 | $600K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 5,799 | 4,960 | $249K |
| 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 | 9.4% | 2,704 | 2,290 | $176K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.3% | 2,168 | 1,851 | $136K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 7.1% | 3,975 | 3,268 | $134K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.4% | 1,846 | 1,616 | $120K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 1,674 | 1,471 | $106K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.2% | 1,100 | 962 | $78K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.1% | 4,440 | 3,872 | $40K |
| 92551 | 1.7% | 4,256 | 3,676 | $32K | |
| 90677 | 1.3% | 296 | 271 | $25K | |
| 99401 | 1.2% | 967 | 743 | $23K |
42 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.2% | 6,191 | $22K |
| 97802 | 1.2% | 4,060 | $22K | |
| 96127 | 1.1% | 5,494 | $20K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,112 | $17K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,932 | $14K |
| 90686 | <1% | 1,609 | $11K | |
| 96160 | <1% | 1,741 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 265 | $7K |
| 99173 | <1% | 4,235 | $7K | |
| 81003 | <1% | 5,031 | $6K | |
| 96161 | <1% | 1,833 | $5K | |
| 3008F | <1% | 3,624 | $5K | |
| 81025 | <1% | 587 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,595 | $2K |
| 90670 | <1% | 1,218 | $2K | |
| 90480 | <1% | 34 | $1K | |
| 90651 | <1% | 550 | $1K | |
| 0081A | <1% | 33 | $780.32 | |
| 90685 | <1% | 136 | $743.76 | |
| 99381 | <1% | 13 | $725.22 | |
| 90734 | <1% | 368 | $620.54 | |
| 0072A | <1% | 21 | $600.00 | |
| 90716 | <1% | 548 | $571.65 | |
| 0051A | <1% | 24 | $480.00 | |
| 0071A | <1% | 15 | $480.00 | |
| 90620 | <1% | 34 | $447.50 | |
| 90680 | <1% | 828 | $440.50 | |
| 90723 | <1% | 1,049 | $329.46 | |
| 96380 | <1% | 17 | $300.88 | |
| 90707 | <1% | 491 | $252.31 | |
| 90461 | <1% | 384 | $220.59 | |
| 90648 | <1% | 1,435 | $135.93 | |
| 90656 | <1% | 149 | $126.46 | |
| 90633 | <1% | 520 | $104.19 | |
| 36416 | <1% | 3,664 | $14.52 | |
| 91307 | 0% | 49 | $0.00 | |
| 91305 | 0% | 26 | $0.00 | |
| 90715 | 0% | 120 | $0.00 | |
| 90700 | 0% | 250 | $0.00 | |
| 90713 | 0% | 13 | $0.00 | |
| 90661 | 0% | 33 | $0.00 | |
| 91308 | 0% | 32 | $0.00 |
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.