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

    NPI 1407887391 · Cleveland, MS · Urology Physician

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    Derek Miles is a urology physician provider located in Cleveland, Mississippi. This profile covers 14 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 Miles
    Address907 E Sunflower Rd
    CityCleveland
    StateMS
    ZIP38732
    TaxonomyUrology Physician
    NPI EnumeratedJuly 6, 2006

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

    Payer SourceTotal Paid
    Medicare$126.4K
    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9217Leuprolide acetate (for depot suspension), 7.5 mg460$130$60.5K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…370$50$18.7K
    99214The provider sees an established 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…120$80$9.7K
    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…80$90$7.4K
    50590Extracorporeal shock wave lithotripsy (ESWL) is a procedure used to destroy calculus (kidney stones) in the kidneys and ureters.20$420$7.1K
    52601During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…10$540$6.4K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$280$4.8K
    55700Code deleted December 31, 2025.30$140$3.5K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…40$50$2.3K
    96402In this procedure, the provider administers chemotherapy either subcutaneously, meaning under the skin, or intramuscularly, meaning in muscle. He administers a hormonal anti–neoplastic drug.110$20$2.1K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J9217450170$130$30.4K
    992142,4034,110170$70$21.9K
    99233952970110$90$21.7K
    52356263020$600$19.2K
    52000557090$130$18.3K
    52601192020$740$15.6K
    50590274020$470$15.6K
    55700305030$290$13.2K
    992135724,000100$50$10.3K
    992044592,15040$100$5.8K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Delta Health SystemMSGeneral Acute Care Hospital$0$8.3M
    Womans Clinic, A Professional AssociationMSRural Health Clinic/Center$0$7.8M
    Delta Medical GroupLAUrgent Care Clinic/Center$0$7.7M
    Delta Medical GroupMSEmergency Medicine Physician$0$7.4M
    Delta Health SystemMSRural Health Clinic/Center$0$6.6M
    Bolivar Physician Practices LLCMSFamily Medicine Physician$0$3M
    Gregory PippinNDOtolaryngology Physician$48.4K$1.7M
    John HerzogMSCardiovascular Disease Physician$772.4K$3K
    Steven ClarkMSInternal Medicine Physician$741.5K$0
    Mark BlackwoodMSObstetrics & Gynecology Physician$10.5K$711.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Phc-cleveland LLCMSGeneral Acute Care Hospital$0$23.4M
    Healthcare Plus LLCMSHome Health Registered Nurse$0$15.9M
    Pafford Medical Services Of Mississippi, IncMSLand Ambulance$2.5M$12.3M
    Angel Homemaker Services, LLCMSAdult Day Care Clinic/Center$0$8.2M
    Family Medical Clinic Of Cleveland, LLCMSFamily Nurse Practitioner$0$6.6M
    Tender Loving CareMSAdult Day Care Clinic/Center$0$5.7M
    Rcg Mississippi, Inc.MSEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.6M
    Acs Emergency Services Of Mississippi Professional AssociationMSEmergency Medicine Physician$0$3.1M
    United Family Life CenterMSAdult Day Care Clinic/Center$0$2.9M
    Foluso FakoredeMSInterventional Cardiology Physician$2.6M$2.5K

    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. Mississippi Distribution
    Derek Miles — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi