Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Unspecified Location for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Unspecified Location only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Unspecified Location (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Lissy George (NPI 1316601610)

Field	Value
Entity Type	Individual
Organization	Lissy George
Address	9/3 Knox Street
City	Hamilton Central
State	XX (Unspecified Location)
ZIP	3204
Taxonomy	Clinical Psychologist
NPI Enumerated	October 25, 2021

Payer Source	Total Paid
Medicare	$27.8K
Medicaid	$0

Key Findings

Services and code mix indicate a clinical psychologist practice focused on diagnostic evaluation and structured cognitive/neuropsychological testing: the highest-revenue code is 90791 (psychiatric evaluation) with 62 claims and $6.9K revenue, and significant activity appears in cognitive testing codes 96132 (73 claims, $5.4K) and 96116 (76 claims, $4.5K). The presence of multiple billable testing codes and add-on/technician codes suggests a workflow that includes one-on-one testing sessions, interpretation, and written reporting rather than high-volume brief visits.

Revenue for this provider is concentrated in a small set of Medicare codes: the precomputed top 3 Medicare codes (90791, 96132, 96116) together account for 60.2% of total Medicare revenue. Individually those codes represent $6.9K (24.8%), $5.4K (19.3%), and $4.5K (16.0%) of the provider’s $27.8K lifetime Medicare revenue, underscoring a narrow set of service lines driving most billed value.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $27.8K while Medicaid revenue is none (no Medicaid billing on file). This makes the provider reliant on Medicare volume for all recorded public-payer activity and leaves no Medicaid-based revenue diversification on file.

Competitive standing on key codes is modest and generally within typical national ranges rather than dominant: 90791 ranks #1813 of 11185 providers nationally (83th percentile) and is described as typical, unremarkable volume for this code; 96132 ranks #952 of 3173 (69th percentile) and 96116 ranks #499 of 1887 (73th percentile), both also characterized as typical volumes. By contrast, some testing add-on codes sit lower in national rank—96133 is #1416 of 2114 (32th percentile)—indicating that while the provider performs these services regularly, they are not a major national outlier.

Utilization detail shows substantial use of technician-administered and add-on testing codes alongside primary testing codes: 96139 (145 claims, $3.5K; 12.4% of Medicare revenue), 96133 (72 claims, $4.1K; 14.7%), and 96138 (75 claims, $1.7K; 6.2%) appear in the top codes list. This mix suggests repeatable test administration throughput (technician time and additional test hours) supporting the primary neuropsychological evaluations billed under 96132 and 96116.

Scale of Medicare billing is modest in absolute terms: total Medicare revenue of $27.8K across the provider’s tenure is small relative to typical multi-provider practices, implying a limited Medicare panel or partial Medicare participation. Given the lack of Medicaid billing and modest Medicare receipts, this provider’s public-payer footprint would be considered low-volume from a revenue perspective.

Tenure is short-to-moderate: the NPI was enumerated on 2021-10-25 (~5 years ago). Given that timeline, the current lifetime Medicare revenue and typical-volume ranks across key codes suggest the provider has established a focused evaluation/testing practice but has not expanded into large-scale Medicare caseloads.

There are no statistical red flags in the supplied indicators: multiple top codes are explicitly labeled as “typical, unremarkable volume for this code,” and percentile ranks are generally in middle ranges (e.g., 69th–83th for core testing and evaluation codes) with some lower-percentile activity on add-on codes (e.g., 32th percentile for 96133). Overall activity aligns with a specialized, moderate-volume evaluation practice rather than an outlier billing pattern.

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	60	$110	$6.9K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	70	$70	$5.4K
96116	A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…	80	$60	$4.5K
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	70	$60	$4.1K
96139	A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.	150	$20	$3.5K
96156	The provider assesses psychological, behavioral, emotional, cognitive, and social factors that affect a patient’s physical health, rather than assessing a specific mental health disorder. There are…	30	$70	$1.8K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	80	$20	$1.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes. Note: this provider's state, "XX," is a placeholder CMS uses when a provider's practice-location state wasn't reported — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Unspecified Location Distribution

Lissy George — 1 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Unspecified Location

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90791	1	10	20	$120	$2.2K
96116	1	0	N/A	$N/A	$N/A
96132	1	0	N/A	$N/A	$N/A
96133	1	0	N/A	$N/A	$N/A
96138	1	0	N/A	$N/A	$N/A
96139	1	0	N/A	$N/A	$N/A
96156	1	0	N/A	$N/A	$N/A

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Comanche County Hospital Authority	OK	Federally Qualified Health Center (FQHC)	$0	$18.3M
Comanche County Hospital Authority	OK	General Acute Care Hospital	$0	$17.8M
Southwestern Medical Center, LLC	OK	General Acute Care Hospital	$0	$9.4M
Compass Health, Inc.	MO	Federally Qualified Health Center (FQHC)	$0	$8.4M
Comanche County Hospital Authority	OK	Federally Qualified Health Center (FQHC)	$0	$7.1M
Comanche County Hospital Authority	OK	Federally Qualified Health Center (FQHC)	$0	$4.5M
Comanche County Hospital Authority	OK	Land Ambulance	$837.1K	$3.4M
Comanche County Hospital Authority	OK	Federally Qualified Health Center (FQHC)	$0	$4M
Comanche County Hospital Authority	OK	Federally Qualified Health Center (FQHC)	$0	$2.4M
Comanche County Hospital Authority	OK	Federally Qualified Health Center (FQHC)	$0	$2.4M

Lissy George — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References