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 Nevada for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nevada 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. Nevada (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.

Lisa A Durette Md PLLC (NPI 1669679205)

Lisa A Durette Md PLLC is a child & adolescent psychiatry physician provider located in Las Vegas, Nevada. This profile covers 0 Medicare and 19 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Lisa A Durette Md PLLC
Address	6600 W Charleston Blvd Ste 140
City	Las Vegas
State	NV
ZIP	89146
Taxonomy	Child & Adolescent Psychiatry Physician
NPI Enumerated	June 28, 2007

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	1,650	$300	$501K
H0005	Alcohol and/or drug services; group counseling by a clinician	21,450	$10	$300.3K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	3,130	$80	$262.6K
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…	2,090	$90	$179.6K
S9480	Intensive outpatient psychiatric services, per diem	1,290	$120	$158.8K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	3,420	$40	$136.8K
99215	The 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…	1,240	$100	$127.6K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	1,290	$60	$71.1K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	520	$80	$40.3K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	460	$60	$28.1K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Nevada providers billing the same CPT/HCPCS codes.

Claims Volume vs. Nevada Distribution

Lisa A Durette Md PLLC — 1 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. Nevada median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0035	Mental health partial hospitalization, treatment, less than 24 hours	11	20	1,970	$240	$779.7K
S9480	Intensive outpatient psychiatric services, per diem	106	230	1,090	$140	$384.7K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	24	60	1,010	$100	$365.3K
H0047	Alcohol and/or other drug abuse services, not otherwise specified	47	80	1,180	$70	$225.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	140	970	360	$80	$139.2K
T1016	Case management, each 15 minutes	154	190	210	$40	$138.1K
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…	403	2,250	290	$60	$138K
H0005	Alcohol and/or drug services; group counseling by a clinician	3	80	720	$30	$109.3K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	43	150	190	$90	$86.1K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	37	240	380	$30	$83.4K

Showing 1–10 of 19

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lisa A Durette Md PLLC	NV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.8M
Sean Elder	NV	Psychiatric/Mental Health Nurse Practitioner	$284.2K	$6.3K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nv St Dv Mh Ds Desert Dev Center	NV	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$545.3M
Nv St Dv Mh Ds Desert Dev Center	NV	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$129.8M
My Left Foot Children's Therapy	NV	Pediatric Occupational Therapist	$0	$41.8M
Nv St Dv Mh Ds So Nv Mr Svcs	NV	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$27.6M
Didc Inc.	NV	In Home Supportive Care Agency	$0	$16.2M
State Of Nevada	NV	Case Management Agency	$0	$14M
Above The Rest Home Care Inc.	NV	In Home Supportive Care Agency	$0	$12.3M
Silver Town Incorporated	NV	Adult Day Care Clinic/Center	$0	$12.3M
Eugene Rosenman, Md Ltd	NV	Psychiatry Physician	$0	$12.2M
Nephrology & Endocrine Associates Inc	NV	Nephrology Physician	$0	$11.7M

Lisa A Durette Md PLLC — Billing Profile & Reimbursement Data

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Lisa A Durette Md PLLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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