ELIZABETH M DIMITRI, D.O.
NPI 1285700732, individual, Slidell, LA, Dermatology
- Hours beyond a day in 3 months, but with up to 1511 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Apr 2021 | More hours than a day holds, even counting one unit per claim line | 28.5 | 24.0 | 16.0 | 21.8 | 1511 | 1 | 99203 99204 99213 99214 | $83K |
| May 2021 | More hours than a day holds, even counting one unit per claim line | 25.0 | 21.7 | 14.5 | 21.4 | 1396 | 1 | 99203 99204 99213 99214 | $77K |
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 28.9 | 24.6 | 16.4 | 22.4 | 1485 | 1 | 99203 99204 99213 99214 | $85K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ELIZABETH M DIMITRI, D.O. |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | November 27, 2006, last updated December 6, 2023 |
| Practice location | 2104 GAUSE BLVD W, STE. A, Slidell, LA 70460-4130, 985-643-4575 |
| Specialties | Dermatology (207N00000X, primary, license 14885R LA) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $315K | 18% | $44 | $44 (top 5% from $110) | 50th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $312K | 18% | $67 | $60 (top 5% from $133) | 57th percentile | |
| 10060 | Simple or single drainage of skin abscess | $181K | 11% | $79 | $85 (top 5% from $297) | 46th percentile | |
| 96910 | Therapy procedure using ultraviolet radiation with tar or petroleum jelly application | $137K | 8% | $44 | $173 (top 5% from $452) | 21st percentile | |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $133K | 8% | $61 | $67 (top 5% from $121) | 41st percentile | |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | $116K | 7% | $482 | $103 (top 5% from $521) | 90th percentile | |
| 96401 | Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | $71K | 4% | $48 | $66 (top 5% from $248) | 35th percentile | |
| 17110 | Destruction of skin growth, 1-14 growths | $64K | 4% | $65 | $70 (top 5% from $141) | 44th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 198 | 12 | $37K | $544 | $238 | 2.3x | 3.2x (90th percentile 8.5x) |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 227 | 14 | $27K | $150 | $148 | 1.0x | 2.0x (90th percentile 3.0x) |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 65 | 39 | $7K | $500 | $149 | 3.4x | 2.3x (90th percentile 4.0x) |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 73 | 45 | $6K | $225 | $118 | 1.9x | 2.3x (90th percentile 3.8x) |
| 77401 | Superficial and/or low voltage radiation treatment delivery | 210 | 13 | $6K | $219 | $37 | 6.0x | 2.0x (90th percentile 3.2x) |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 69 | 43 | $4K | $125 | $83 | 1.5x | 2.2x (90th percentile 3.8x) |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 24 | 13 | $3K | $395 | $168 | 2.3x | 2.4x (90th percentile 4.1x) |
| 17110 | Destruction of skin growth, 1-14 growths | 31 | 23 | $2K | $172 | $95 | 1.8x | 2.3x (90th percentile 4.1x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
12 providers in St. Tammany Parish County, LA carry an indicator in the public record, with $1.9M at stake between them. The most common is named in an enforcement record, on 5 of them, followed by part of a provider network on 5. 4 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ROBERT TASSIN Slidell, LA, ranked 467 | $0 |
|
| 1 | DENNIS PEYROUX Slidell, LA, ranked 476 | $0 |
|
| 1 | ADRIAN TALBOT Slidell, LA, ranked 620 | $0 |
|
| 1 | MELISSA WATSON Slidell, LA, ranked 638 | $0 |
|
| 2 | WENDY PETRUS Folsom, LA, ranked 723 | $1.9M |
|
| 3 | APEX HOME HEALTH, L.L.C. Mandeville, LA, ranked 1564 | $8K |
|
| 3 | SOUTHEAST LOUISIANA HOME HEALTH, LLC Covington, LA, ranked 3608 | $0 |
|
| 3 | MY PURPOSE COMMUNITY SERVICE Slidell, LA, ranked 5398 | $0 |
|
Recent enforcement in LA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.