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

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

E. M. Dimitri, D.o. Pmc (NPI 1821285974)

Key Findings

Field	Value
Entity Type	Organization
Organization	E. M. Dimitri, D.o. Pmc
Address	2104 Gause Blvd W
City	Slidell
State	LA
ZIP	70460
Taxonomy	Dermatology Physician
NPI Enumerated	October 2, 2007

Payer Source	Total Paid
Medicaid	$31.2M
Medicare	$0

E. M. DIMITRI, D.O. PMC is a Dermatology Physician in SLIDELL, LA with an NPI enumerated 2007-10-02 (~19 years ago). Lifetime billing shows no Medicare revenue on file and $31.2M in Medicaid revenue, indicating the provider operates today as effectively single-payer with Medicaid as the dominant source of fee-for-service revenue.

The provider’s Medicaid revenue is highly concentrated: the precomputed top three Medicaid codes (99213, 10060, 99214) together account for 50.8% of total Medicaid revenue. Individually those codes are 99213 ($9M, 28.9%), 10060 ($3.9M, 12.4%), and 99214 ($2.9M, 9.5%), highlighting reliance on a small set of high-volume office and procedure services.

The code mix indicates a high-throughput, office-based dermatology practice that pairs routine evaluation-and-management visits with frequent minor procedures. High volumes for E/M codes such as 99213, 99214 and 99203 alongside procedure codes including 10060/10061 (incision and drainage), 17110/17111 (destruction of lesions), and intralesional injection codes 11900/11901 suggest the operation manages both scheduled medical dermatology and same-day procedural treatment of infections and benign lesions.

Several codes place this provider as a dominant statewide performer. For example, 99213 ranks #7 of 3226 providers in-state (100th percentile; extreme outlier, far above typical state volume for this code), 10060 ranks #1 of 9 providers in-state (100th percentile; notably above typical state volume for this code), and 99214 ranks #28 of 2894 providers in-state (99th percentile; notably above typical state volume for this code). Numerous other procedure codes also rank #1 in-state at the 100th percentile, which collectively signals a major in-state market share for multiple dermatologic procedures.

The practice shows unusually high reported volumes for both phototherapy and procedural drug administration. Codes 96910 ($2.9M revenue; ranks #1 of 4 providers in-state, 100th percentile; typical, unremarkable volume for this code), 96900 ($1.1M, ranks #1 of 6 providers in-state, 100th percentile; notably above typical state volume for this code), and 96401 ($1.5M, ranks #1 of 17 providers in-state, 100th percentile; extreme outlier, far above typical state volume for this code) indicate routine use of ultraviolet treatments and frequent subcutaneous/intramuscular administration of therapies in the Medicaid population.

The provider also bills codes associated with radiation planning and guidance (77280, 77387, 77401), which is atypical for a pure office dermatology practice and may reflect either a broader service mix or collaboration with radiation therapy services. Each of these codes ranks at or near the top statewide (77280 ranks #1 of 12 providers in-state, 100th percentile; 77387 ranks #3 of 8 providers in-state), underlining that the provider’s Medicaid case mix extends beyond basic dermatologic office care into ancillary procedural services.

From an operational and payer-strategy perspective, dependence on a narrow set of high-volume Medicaid codes creates both a strength and a vulnerability: the practice appears highly efficient at delivering high-frequency E/M and procedural dermatology services to Medicaid enrollees, but changes in Medicaid policy, reimbursement for the top codes, or local referral patterns could materially affect revenue. Given there is no Medicare billing on file, any shift in payer mix toward Medicare participation would represent a new and potentially significant change to the provider’s revenue base.

Medicaid: Complete Services Breakdown

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

47 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…	320,680	$30	$9M
10060	The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	75,630	$50	$3.9M
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…	71,860	$40	$2.9M
96910	The provider applies tar or petrolatum to the skin and exposes the area to ultraviolet B, or UVB, rays to treat certain skin diseases such as psoriasis.	104,490	$30	$2.9M
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…	59,310	$50	$2.7M
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	43,570	$50	$2M
96401	The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.	57,340	$30	$1.5M
96900	The provider uses ultraviolet rays to treat skin diseases.	134,720	$10	$1.1M
17250	The provider cauterizes granulation tissue using chemicals like silver nitrate or potassium hydroxide to heal the injured tissue.	37,340	$30	$970.8K
17111	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of 15 lesions or more, other than skin tags or…	12,130	$60	$727.7K

Showing 1–10 of 47

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Louisiana Distribution

E. M. Dimitri, D.o. Pmc — 20 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. Louisiana median

47 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96910	The provider applies tar or petrolatum to the skin and exposes the area to ultraviolet B, or UVB, rays to treat certain skin diseases such as psoriasis.	1	10	310	$30	$747.3K
10060	The provider incises the area of abscess and drains the collection of pus from a lesion, such as a carbuncle, hidradenitis, cyst, furuncle, or paronychia, with the help of surgical instruments. A…	1	10	290	$50	$442.9K
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…	28	2,890	980	$40	$246.8K
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…	7	3,230	1,120	$30	$204.3K
96900	The provider uses ultraviolet rays to treat skin diseases.	1	10	780	$10	$194.1K
96920	The provider uses an excimer (ultraviolet) laser to treat the skin disease psoriasis. Use this code for a total treatment area of less than 250 sq cm.	2	10	2,180	$80	$168.2K
11901	This code describes an intralesional injection of a corticosteroid, such as triamcinolone acetonide, for treatment of large nodules, keloids, lichenified hyperkeratotic lesions, and numerous other…	1	10	1,160	$20	$126.4K
77427	Radiation therapy utilizes ionizing radiation beams that are directed at cancerous cells in order to destroy them. The radiation, damages the DNA (the genetic material) in the cell, thus preventing…	16	20	440	$70	$117.1K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	1	50	290	$50	$105.7K
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…	33	1,170	160	$80	$102.7K

Showing 1–10 of 47

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Orgeron	LA	General Practice Physician	$321.5K	$0
James Cooksey	MS	Family Nurse Practitioner	$91.6K	$0
Jennifer Chatman Malley	MS	Family Nurse Practitioner	$47.2K	$450
Joel Perdomo	LA	General Practice Physician	$43.1K	$0
Andrea Oertling	LA	Nurse Practitioner	$35.5K	$0
Thuy Tran	MS	Physician Assistant	$20.4K	$5.4K
Kristen Goff	LA	Family Nurse Practitioner	$19.5K	$0
Miyagi Henderson	LA	Family Nurse Practitioner	$17.4K	$0
Jorge Cruz	LA	General Practice Physician	$16.9K	$0
Sally Benyahia	LA	Family Nurse Practitioner	$12.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Tammany Assoc For Retarded Citizens	LA	Voluntary or Charitable Agency	$0	$12.4M
Helping Hands For Healing Hearts	LA	Adult Care Home Facility	$0	$6.1M
George Isa	LA	Interventional Cardiology Physician	$117.5K	$0
Jorge Melara	LA	Surgery Physician	$19.1K	$0

E. M. Dimitri, D.o. Pmc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References