Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $204.07 | 2 | 100.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| NOVARTIS PHARMACEUTICALS CORPORATION | $105.54 | 1 | $0 (2017) |
| Janssen Pharmaceuticals, Inc | $98.53 | 1 | $0 (2018) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2018 | $98.53 | 1 | Janssen Pharmaceuticals, Inc ($98.53) |
| 2017 | $105.54 | 1 | NOVARTIS PHARMACEUTICALS CORPORATION ($105.54) |
All Payment Transactions
2 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/06/2018 | Janssen Pharmaceuticals, Inc | XARELTO (Drug) | Food and Beverage | In-kind items and services | $98.53 | General |
| Category: Cardiovascular & Metabolism | ||||||
| 06/07/2017 | NOVARTIS PHARMACEUTICALS CORPORATION | ENTRESTO (Drug) | Food and Beverage | In-kind items and services | $105.54 | General |
| Category: CARDIOVASCULAR | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 8 | 1,198 | 1,804 | $1.2M | $174,877 |
| 2022 | 10 | 1,207 | 2,007 | $1.3M | $219,543 |
| 2021 | 12 | 1,037 | 1,853 | $1.4M | $200,032 |
| 2020 | 10 | 797 | 1,350 | $935,488 | $143,096 |
All Medicare Procedures & Services
40 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 306 | 671 | $246,808 | $42,856 | 17.4% |
| 99291 | Critical care, first 30-74 minutes | Facility | 2023 | 109 | 244 | $343,790 | $42,405 | 12.3% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 169 | 182 | $176,036 | $25,467 | 14.5% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2023 | 215 | 228 | $122,786 | $21,087 | 17.2% |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | Facility | 2023 | 164 | 172 | $129,406 | $18,036 | 13.9% |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Facility | 2023 | 83 | 146 | $78,866 | $14,071 | 17.8% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2023 | 130 | 137 | $51,942 | $8,848 | 17.0% |
| 99292 | Critical care, each additional 30 minutes | Facility | 2023 | 22 | 24 | $18,444 | $2,106 | 11.4% |
| 99233 | Follow-up hospital inpatient care per day, typically 35 minutes | Facility | 2022 | 353 | 899 | $332,630 | $74,346 | 22.4% |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | Facility | 2022 | 312 | 347 | $272,395 | $57,349 | 21.1% |
| 99291 | Critical care, first 30-74 minutes | Facility | 2022 | 103 | 262 | $484,700 | $47,271 | 9.8% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2022 | 228 | 241 | $87,242 | $20,353 | 23.3% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 73 | 116 | $31,668 | $6,721 | 21.2% |
| 99220 | Initial hospital observation care per day, typically 70 minutes | Facility | 2022 | 30 | 30 | $51,690 | $4,470 | 8.6% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2022 | 50 | 51 | $14,841 | $2,938 | 19.8% |
| 99292 | Critical care, each additional 30 minutes | Facility | 2022 | 29 | 31 | $28,675 | $2,888 | 10.1% |
| 99236 | Hospital observation or inpatient care admitted and discharged on the same day for high severity problem, typically 55 minutes | Facility | 2022 | 13 | 13 | $26,377 | $2,223 | 8.4% |
| 99217 | Hospital observation care on day of discharge | Facility | 2022 | 16 | 17 | $11,475 | $984.38 | 8.6% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2021 | 300 | 785 | $290,450 | $65,791 | 22.7% |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | Facility | 2021 | 121 | 358 | $662,300 | $65,552 | 9.9% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2021 | 133 | 143 | $112,255 | $23,659 | 21.1% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2021 | 132 | 140 | $50,680 | $12,095 | 23.9% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2021 | 105 | 169 | $46,137 | $9,829 | 21.3% |
| 99220 | Hospital observation care, typically 70 minutes | Facility | 2021 | 63 | 64 | $110,272 | $9,561 | 8.7% |
| 99238 | Hospital discharge day management, 30 minutes or less | Facility | 2021 | 74 | 76 | $22,116 | $4,374 | 19.8% |
About Dr. James Derby, MD
Dr. James Derby, MD is a Emergency Medicine healthcare provider based in Niceville, Florida. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 11/09/2005. The National Provider Identifier (NPI) number assigned to this provider is 1760463525.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. James Derby, MD has received a total of $204.07 in payments from pharmaceutical and medical device companies, with $98.53 received in 2018. These payments were reported across 2 transactions from 2 companies. The most common payment nature is "Food and Beverage" ($204.07).
As a Medicare-enrolled provider, Derby has provided services to 4,239 Medicare beneficiaries, totaling 7,014 services with total Medicare billing of $737,548. Data is available for 4 years (2020–2023), covering 40 distinct procedure/service records.
Practice Information
- Specialty Emergency Medicine
- Other Specialties Family Medicine, Hospitalist
- Location Niceville, FL
- Active Since 11/09/2005
- Last Updated 05/09/2023
- Taxonomy Code 207P00000X
- Entity Type Individual
- NPI Number 1760463525
Products in Payments
- ENTRESTO (Drug) $105.54
- XARELTO (Drug) $98.53
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.