Derfelt, John

Derfelt, John was paid $24K by Medicaid between Jan 2018 and Feb 2020, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.

33Billing provider infoDERFELT, JOHN
JOPLIN, MO 64804

33aNPI1912377862assigned 10/05/2015

33bProvider typeFamily Nurse Practitioner

28Total paid$24K

24GClaims513

24DCodes billed5

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other Family Nurse Practitioner providers in Missouri

Rank by total paid#244 of 745

Median peer was paid$11K

This provider vs. median2.2×

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	296	$12K
2019	184	$10K
2020	33	$2K

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	53%	265	245	$13K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	33%	153	150	$8K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	6.2%	70	40	$1K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	5.1%	13	13	$1K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	2.8%	12	12	$656.39

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.