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Family Practice • O Fallon, IL 62269 • NPI #1295720845 TOP 10% O FALLON CMS VOLUME

Dr. Richard Derby, MD

670 Pierce Blvd, O Fallon, IL 62269 • +1-959-555-2206

Medical Education: Accredited U.S. Medical School (Class of 2002)

34 Active CMS HCPCS Codes
4.92/5
Waiting-Room Score
19 patient logs
$218.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & O Fallon Percentiles

NPI #1295720845 • CBSA Regional • Family Practice

Dr. Richard Derby DotMD Verification Badge

Anchored in O Fallon, IL 62269, Dr. Richard Derby, MD (NPI 1295720845) logged 12,987 annual procedures (top-decile high-throughput specialist (90.91th percentile in O Fallon), 98.03th IL percentile, +0.52σ) with sub-specialty concentration in 34 Active CMS HCPCS Codes.

Fee-schedule auditing of NPI 1295720845 highlights 542 annual claims for 99214 (90.91th O Fallon percentile; $45–$62 self-pay corridor) plus 400 encounters under 99213 and 155 under G0439.

At 670 Pierce Blvd (62269), Dr. Richard Derby, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$218.00 per new consult (4.66/5 bedside rating).

Spanning 24 years of clinical practice following 2002 graduation from medical training, Dr. Richard Derby integrates 34 Active CMS HCPCS Codes diagnostics for O Fallon metro patients.

O Fallon Percentile 90.91th

Top 10% Family Practice volume leader in O Fallon, IL

IL State Percentile 98.03th

12,987 annual services across 231 beneficiaries

Regional Volume Z-Score +0.517σ

Standard deviations from IL Family Practice mean utilization

Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks

HCPCS Clinical Procedure Description Annual Volume Local Pct Est. Cash Range
99214 Comprehensive Primary Care & Chronic Protocol Management 542 90.91th $45 – $62
99213 Focused Acute & Preventive Primary Care Evaluation 400 89.91th $35 – $50
G0439 Annual Wellness Biomarker & Preventive Screening Visit 155 86.91th $52 – $71
36415 Routine Venipuncture Blood Biomarker Collection 116 88.91th $25 – $40
99204 New Patient Primary Care Intake & Diagnostic Plan 77 91.91th $62 – $85
96372 Therapeutic Subcutaneous/Intramuscular Injection Administration (34 HCPCS billing breadth) 11,697 90.91th $45 – $65
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Dr. Richard Derby, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Derby National Provider Identifier NPI #1295720845 (MD) CMS NPPES Registry (62269)
Dr. Derby O Fallon CMS Volume Rank 90.91th Pct (12,987 CMS svcs; Z +0.517σ) CMS Medicare Part B (IL Family Practice)
Fair Cash-Pay New-Patient Benchmark $218.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (O Fallon, IL)
Waiting-Room Wait Time & Cash Friendliness $218.00 avg paid • 13 min lobby wait 19 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.66/5 Listening • 4.76/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
13 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $218.00
Listens Without Rushing
4.66/5
Patient communication rating
Modern Protocol Openness
4.76/5
Preventive labs, GLP-1s & HRT
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