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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDerek Moore
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    Derek Moore — Billing Profile & Reimbursement Data

    NPI 1376697391 · Nashville, TN · Transplant Surgery Physician

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    Derek Moore is a transplant surgery physician provider located in Nashville, Tennessee. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDerek Moore
    Address4230 Harding Pike Ste 530
    CityNashville
    StateTN
    ZIP37205
    TaxonomyTransplant Surgery Physician
    NPI EnumeratedJanuary 23, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$140.7K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    50360The provider transplants a kidney and ureter from a cadaver or living donor into a recipient. The provider does not remove a kidney (nephrectomy) from the recipient.60$1,610$99.8K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…60$120$6.9K
    36821The provider creates an arteriovenous (AV) anastomosis by connecting a vein to an artery in any site to provide better vascular access in a patient with kidney failure who will receive hemodialysis…10$450$6.3K
    36830In this procedure, the provider surgically creates an arteriovenous fistula, a connection between an artery and a vein using a nonautogenous graft. This service is done to allow for hemodialysis…10$430$6.1K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…60$80$4.6K
    50323The provider makes a donor kidney, from a cadaver, ready for transplantation through a standard back table preparation.60$70$4.2K
    49324The provider examines the inside of the abdomen through a laparoscope, a tubular instrument with a light source and a camera. He places a catheter, a flexible tube, into the membrane lined portion of…20$250$4.2K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…30$120$3.8K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…20$100$2K
    49422The provider removes an existing tunneled intraperitoneal catheter that a provider uses to drain a recurrent accumulation of fluid in the abdomen.20$90$1.7K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    5036012020$1,360$30K
    9921410,84011,370120$80$16.6K
    992331,6342,63090$90$13.1K
    36821102020$500$10.5K
    3683041020$450$8.6K
    992151,9112,71040$110$8.3K
    992042,7595,49030$100$5.3K
    992051941,30020$140$4.9K
    4932411010$260$3.6K
    4942211010$110$1.6K

    Showing 1–10 of 11

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Derek Moore, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Saint Thomas Medical PartnersTNInternal Medicine Physician$0$21.9M
    St Vincent Pediatric SubspecialtiesINPediatrics Physician$0$20.8M
    St Vincent Physician Services Hospital And Health Care CenterINFamily Medicine Physician$0$14M
    Saint Vincent Physician Services, Inc.MAFamily Medicine Physician$0$6.1M
    St. Vincent Williamsport HospitalINCritical Access Hospital$0$2.7M
    St. Vincent Hospital & Health Care Center, Inc.INPsychiatry Physician$0$2.5M
    Oghenerukevwe OdieteGAInterventional Cardiology Physician$1.2M$0
    Mark HendrixsonTNMedical Oncology Physician$1.1M$56.4K
    Martin EspinosaFLClinical Cardiac Electrophysiology Physician$907.2K$0
    Chirag AminTNHematology & Oncology Physician$820K$0

    Nearby Providers

    Other providers in the same ZIP code as Derek Moore, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Old Harding Pediatric AssociatesTNPediatrics Physician$0$7.3M
    Saint Thomas West HospitalTNGeneral Acute Care Hospital$0$7.1M
    Adams & Seaton Pediatric DentistryTNPediatric Dentistry$0$3.7M
    Kent ShihTNHematology & Oncology Physician$2.2M$0
    Joshua MondscheinTNRadiation Oncology Physician$2.1M$0
    Saint Thomas Campus Surgicare LPTNAmbulatory Surgical Clinic/Center$1.3M$0
    Elizabeth LyonsTNRheumatology Physician$1.2M$0
    Colt McclainTNAnatomic Pathology & Clinical Pathology Physician$962.9K$0
    Imaging Alliance Nashville Pet LLCTNRadiology Clinic/Center$456.7K$255.5K
    Gregg ShepardTNHematology & Oncology Physician$653K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Tennessee Distribution
    Derek Moore — 3 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee