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    OpenPayerNPI Medicare & MedicaidSean Elder
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    Sean Elder — Billing Profile & Reimbursement Data

    NPI 1770997926 · Las Vegas, NV · Psychiatric/Mental Health Nurse Practitioner

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    Sean Elder is a psychiatric/mental health nurse practitioner provider located in Las Vegas, Nevada. This profile covers 7 Medicare and 1 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)

    FieldValue
    Entity TypeIndividual
    OrganizationSean Elder
    Address6161 W Charleston Blvd
    CityLas Vegas
    StateNV
    ZIP89146
    TaxonomyPsychiatric/Mental Health Nurse Practitioner
    NPI EnumeratedJune 16, 2014

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

    Payer SourceTotal Paid
    Medicare$284.2K
    Medicaid$6.3K

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    95700The patient undergoes a minimum 8–channel EEG, a study of the electrical activity of the brain, administered by an EEG technologist. Video recording as well as setup and takedown and patient…720$160$117.3K
    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…770$80$64K
    95984The provider, a physician or other qualified healthcare professional, continues to analyze the function of a brain neurostimulator system and make programming adjustments face–to–face with the…2,020$30$58.5K
    95983The provider, a physician or other qualified healthcare professional, analyzes the function of a brain neurostimulator system and makes programming adjustments requiring up to 15 minutes of…730$30$24.7K
    90901The provider trains patients to control involuntary bodily functions by altering brain activity, blood pressure, heart rate, and other bodily functions that are normally not controlled voluntarily.460$30$12.5K
    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…110$50$5.6K
    90833In 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…40$30$1.2K

    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.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9570011050$170$26.4K
    95984110700$30$24.7K
    992141963,610110$80$19K
    95983310210$30$16.5K
    90901410460$30$13.3K
    992131,4023,50080$60$10K
    9083398120100$40$9.2K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

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

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…150$40$6.3K

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Nevada median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…1,6042,480330$50$107.6K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christus Trinity Clinic TexasTXFamily Medicine Physician$0$22.2M
    Humboldt General HospitalNVRural Health Clinic/Center$0$6.3M
    Humboldt General HospitalNVCritical Access Hospital$0$4.4M
    Lisa A Durette Md PLLCNVMental Health Clinic/Center (Including Community Mental Health Center)$0$3.8M
    1 Love Wellness Society LLCNVCommunity/Behavioral Health Agency$0$2.1M
    Lisa A Durette Md PLLCNVChild & Adolescent Psychiatry Physician$0$1.9M
    Humboldt General HospitalNVLand Ambulance$503.1K$576.4K
    Zia KhanNVCardiovascular Disease Physician$732.9K$24.7K
    Chad WattsNVAdult Reconstructive Orthopaedic Surgery Physician$523.3K$0
    Jackson JonesNVAdult Reconstructive Orthopaedic Surgery Physician$330.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nv St Dv Mh Ds Desert Dev CenterNVChild Intellectual and/or Developmental Disabilities Respite Care$0$545.3M
    Nv St Dv Mh Ds Desert Dev CenterNVChild Intellectual and/or Developmental Disabilities Respite Care$0$129.8M
    My Left Foot Children's TherapyNVPediatric Occupational Therapist$0$41.8M
    Nv St Dv Mh Ds So Nv Mr SvcsNVIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$27.6M
    Didc Inc.NVIn Home Supportive Care Agency$0$16.2M
    State Of NevadaNVCase Management Agency$0$14M
    Above The Rest Home Care Inc.NVIn Home Supportive Care Agency$0$12.3M
    Silver Town IncorporatedNVAdult Day Care Clinic/Center$0$12.3M
    Eugene Rosenman, Md LtdNVPsychiatry Physician$0$12.2M
    Nephrology & Endocrine Associates IncNVNephrology Physician$0$11.7M

    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. Nevada Distribution
    Sean Elder — 2 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada
    Medicaid Revenue by Year vs. Nevada Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Nevada Distribution
    Sean Elder — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nevada