Loading...
NPI 1649400938 · New Bern, NC · Otolaryngology Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Derek Mitchell is a otolaryngology physician provider located in New Bern, North Carolina. This profile covers 17 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Derek Mitchell |
| Address | 3110 Wellons Blvd |
| City | New Bern |
| State | NC |
| ZIP | 28562 |
| Taxonomy | Otolaryngology Physician |
| NPI Enumerated | July 21, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $77K |
| Medicaid | $53.8K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 400 | $60 | $24.6K |
| 99203 | The provider sees a new 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 provider… | 220 | $70 | $15.3K |
| 95165 | In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens. | 770 | $10 | $8.4K |
| 31575 | The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services. | 80 | $100 | $7.5K |
| 99214 | The 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… | 60 | $90 | $5.6K |
| 31231 | In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides. | 30 | $130 | $3.4K |
| 99204 | The 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 | $3.2K |
| 69433 | The provider makes a small opening in the eardrum and inserts a ventilating tube under local or topical anesthesia. | 20 | $160 | $3.1K |
| 69210 | The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal. | 50 | $30 | $1.6K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 40 | $30 | $1.2K |
Showing 1–10 of 17
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
17 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99214 | 12,348 | 18,060 | 110 | $80 | $15.1K |
| 95165 | 73 | 140 | 800 | $10 | $13.1K |
| 31231 | 138 | 200 | 40 | $120 | $8.3K |
| 99213 | 984 | 16,320 | 70 | $50 | $7.1K |
| 36415 | 3,284 | 3,490 | 90 | $10 | $6.4K |
| 31575 | 59 | 260 | 50 | $80 | $5K |
| 99204 | 4,665 | 8,430 | 30 | $110 | $4.8K |
| 95117 | 179 | 190 | 270 | $10 | $3.5K |
| 99203 | 76 | 5,450 | 30 | $70 | $3.1K |
| 92557 | 269 | 320 | 90 | $20 | $3K |
Showing 1–10 of 17
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The 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… | 570 | $40 | $21.7K |
| 99203 | The provider sees a new 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 provider… | 240 | $70 | $17K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 310 | $30 | $8.3K |
| 92557 | The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to… | 110 | $30 | $3.3K |
| 92567 | In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss. | 230 | $10 | $3.2K |
How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. North Carolina median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99213 | The 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… | 2,157 | 4,130 | 670 | $50 | $219.9K |
| 99203 | The provider sees a new 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 provider… | 413 | 1,090 | 120 | $60 | $71.5K |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 394 | 1,060 | 150 | $30 | $27.6K |
| 92567 | In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss. | 89 | 140 | 390 | $10 | $21.9K |
| 92557 | The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to… | 40 | 70 | 190 | $20 | $15.9K |
Other providers in the same ZIP code as Derek Mitchell, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Easter Seals Ucp North Carolina & Virginia, Inc. | NC | Community/Behavioral Health Agency | $0 | $28.2M |
| Coastal Childrens Clinic | NC | Pediatrics Physician | $0 | $20.4M |
| Home Life Care Inc | NC | In Home Supportive Care Agency | $0 | $14M |
| Robert B. Harrison Dmd Msd PLLC | NC | Multi-Specialty Clinic/Center | $0 | $7.5M |
| Robert B. Miller, Iv, Dds, PLLC | NC | Dentist | $0 | $7.3M |
| Christopher Flye | NC | Diagnostic Radiology Physician | $1.7M | $0 |
| Cchc Endoscopy Center Inc | NC | Endoscopy Clinic/Center | $988.7K | $57.5K |
| Christopher Mizelle | NC | Dermatology Physician | $924.7K | $0 |
| Nathan Saucier | NC | Nephrology Physician | $724.1K | $0 |
| Jay Singleton | NC | Ophthalmology Physician | $704.5K | $0 |
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.