Internal Medicine, Hematology & Oncology · Little Rock, AR
NPI
1346602679
Since 2016
Specialty
Internal Medicine, Hematology & Oncology
Code 207RH0003X
Group practices
1
Medicare group memberships
Hospitals
3
Hospital affiliations
8901 Carti Way
Little Rock, AR, 72205
Phone (501) 906-3000
Groups this clinician bills Medicare through
Medicare paid, 2024
$6.5M
292,503 services
Medicare patients, 2024
1,096
Average age 74
Drug cost, 2024
$4.2M
1,875 prescriptions
Company payments, 2025
$30.64
From 2 companies
Procedures and visits billed to Original Medicare, 2024
In 2024, the most common Medicare service billed by Derek Middleton was code J9271 (injection, pembrolizumab, 1 mg), 38,200 times for 51 patients. In total Derek Middleton billed 292,503 services in 220 codes, and Medicare paid $6.5M.
| Code |
|---|
Official US government data: the national provider registry and Medicare enrollment records, linked by NPI. Last update of this record: 2022-10-11.
| Setting |
|---|
| Services |
|---|
| Patients |
|---|
| Paid per service |
|---|
| Medicare paid |
|---|
| J9271 Injection, pembrolizumab, 1 mg | Office | 38,200 | 51 | $44.58 | $1.7M |
| J9299 Injection, nivolumab, 1 mg | Office | 33,380 | 34 | $24.39 | $814K |
| Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) | Office | 16,830 | 21 | $0.25 | $4,140 |
| J1448 Injection, trilaciclib, 1mg | Office | 14,400 | 11 | $4.15 | $60K |
| J0896 Injection, luspatercept-aamt, 0.25 mg | Office | 13,500 | 11 | $31.69 | $428K |
| J9263 Injection, oxaliplatin, 0.5 mg | Office | 11,600 | 19 | $0.05 | $624 |
| J1437 Injection, ferric derisomaltose, 10 mg | Office | 9,400 | 87 | $15.66 | $147K |
| J0897 Injection, denosumab, 1 mg | Office | 9,360 | 69 | $20.82 | $195K |
| J9264 Injection, paclitaxel protein-bound particles, 1 mg | Office | 8,500 | 11 | $10.82 | $92K |
| J0185 Injection, aprepitant, 1 mg | Office | 7,540 | 35 | $1.31 | $9,863 |
| J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units | Office | 7,400 | 84 | $6.26 | $46K |
| J1100 Injection, dexamethasone sodium phosphate, 1 mg | Office | 6,143 | 170 | $0.09 | $546 |
| J9267 Injection, paclitaxel, 1 mg | Office | 5,311 | 15 | $0.08 | $427 |
| J1626 Injection, granisetron hydrochloride, 100 mcg | Office | 2,610 | 100 | $0.25 | $654 |
| J1434 Injection, fosaprepitant (focinvez), 1 mg | Office | 2,568 | 17 | $2.86 | $7,334 |
By year: 2022 $901K for 65,186 services; 2023 $4.7M for 229,109 services; 2024 $6.5M for 292,503 services.
Lab tests billed to Medicare, 2024
| Test code | Tests | Patients | Paid per test | Medicare paid |
|---|---|---|---|---|
| 85025 Blood Count | 1,413 | 352 | $7.58 | $11K |
| 80053 Clinical Chemistry | 1,263 | 333 | $10.32 | $13K |
| 36415 Venipuncture Blood Collection | 1,246 | 345 | $8.64 | $11K |
| 88185 Surgical Pathology Examination | 644 | 25 | $15.69 | $10K |
| 82728 Clinical Chemistry | 255 | 138 | $13.33 | $3,398 |
| 82378 Clinical Chemistry | 238 | 39 | $18.58 | $4,422 |
| 83550 Clinical Chemistry | 222 | 127 | $8.54 | $1,897 |
| 83540 Clinical Chemistry | 222 | 127 | $6.32 | $1,403 |
| 83735 Clinical Chemistry | 146 | 30 | $6.49 | $948 |
| 83615 Clinical Chemistry | 92 | 81 | $5.92 | $545 |
Medicare prescription drug claims, 2024
In 2024, the drug Derek Middleton prescribed most often to Medicare patients was Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen), with 157 prescriptions and refills. In total Derek Middleton wrote 1,875 Medicare prescriptions that cost $4.2M.
| Drug | Claims | 30-day fills | Patients | Cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 157 | 157 | 59 | $4,641 |
| Anastrozole Generic | 151 | 223 | 28 | $1,774 |
| Ondansetron Hcl Generic | 114 | 114 | 45 | $820 |
| Promethazine Hcl Generic | 113 | 113 | 55 | $717 |
| Ondansetron Odt Ondansetron | 62 | 62 | 45 | $1,134 |
| Mvasi Bevacizumab-Awwb | 52 | 52 | Under 11 | $173K |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 48 | 48 | 23 | $2,278 |
| Eliquis Apixaban | 46 | 55 | 11 | $33K |
| Letrozole Generic | 43 | 51 | Under 11 | $382 |
| Prednisone Generic | 41 | 41 | 14 | $116 |
| Procrit Epoetin Alfa | 34 | 39 | Under 11 | $71K |
| Morphine Sulfate Er Morphine Sulfate | 33 | 33 | Under 11 | $1,187 |
| Lidocaine-Prilocaine Lidocaine/Prilocaine | 31 | 31 | 28 | $432 |
| Lenalidomide Generic | 29 | 29 | Under 11 | $292K |
| Acyclovir Generic | 28 | 28 | Under 11 | $154 |
Brand drugs: 465 claims; generic drugs: 1,410 claims; opioid claims: 309.
Money and other things of value reported by the companies
In 2025, drug and medical device companies paid Derek Middleton $30.64 ($30.64 in general payments such as food, travel and fees) from 2 companies. The largest payer was Celgene Corporation with $16.57.
Official US government data on Original Medicare services, Medicare prescription drug plans and the payments drug and device companies must report. Services with fewer than 11 patients and drugs with fewer than 11 claims are not published. Procedure codes are shown by number with their public category.