ISELANDE DESYR, DNP PMHNP-BC FNP-BC
NPI 1487190278, individual, Stratford, CT, Nurse Practitioner, Psych/Mental Health
- Charged (charged) per a state attorney general release dated October 22, 2024, not adjudicated.
- Hours beyond a day in 25 months, but with up to 554 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
- A second detector adds a weaker signal.
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 |
|---|---|---|---|---|---|---|---|---|---|
| Jun 2021 | More hours than a day holds, even counting one unit per claim line | 32.0 | 24.3 | 16.2 | 22.1 | 418 | 1 | 90838 99214 99215 | $55K |
| Jul 2021 | More hours than a day holds, even counting one unit per claim line | 29.2 | 23.1 | 15.4 | 21.7 | 425 | 1 | 90838 99214 99215 | $54K |
| Aug 2021 | More hours than a day holds, even counting one unit per claim line | 29.8 | 24.9 | 16.6 | 23.4 | 425 | 1 | 90838 99214 99215 | $59K |
| Sep 2021 | More hours than a day holds, even counting one unit per claim line | 31.1 | 26.2 | 17.4 | 23.8 | 423 | 1 | 90838 99214 99215 | $60K |
| Oct 2021 | More hours than a day holds, even counting one unit per claim line | 32.4 | 27.6 | 18.4 | 27.2 | 497 | 1 | 90838 99213 99214 99215 | $65K |
| Nov 2021 | More hours than a day holds, even counting one unit per claim line | 37.1 | 33.1 | 22.0 | 30.0 | 527 | 1 | 90838 99213 99214 99215 | $74K |
| Dec 2021 | More hours than a day holds, even counting one unit per claim line | 35.8 | 32.8 | 21.9 | 29.5 | 517 | 1 | 90838 99213 99214 99215 | $77K |
| Jan 2022 | More hours than a day holds, even counting one unit per claim line | 38.0 | 34.9 | 23.3 | 34.4 | 540 | 1 | 90838 99213 99214 99215 | $79K |
| Feb 2022 | More hours than a day holds, even counting one unit per claim line | 41.2 | 39.5 | 26.3 | 36.8 | 540 | 1 | 90838 99213 99214 99215 | $81K |
| Mar 2022 | More hours than a day holds, even counting one unit per claim line | 39.9 | 38.6 | 25.7 | 34.7 | 552 | 1 | 90838 99213 99214 99215 | $87K |
| Apr 2022 | More hours than a day holds, even counting one unit per claim line | 41.1 | 40.2 | 26.8 | 38.3 | 554 | 1 | 90838 99213 99214 99215 | $88K |
| May 2022 | More hours than a day holds, even counting one unit per claim line | 37.4 | 36.6 | 24.4 | 34.4 | 534 | 1 | 90838 99213 99214 99215 | $83K |
| Jun 2022 | More hours than a day holds, even counting one unit per claim line | 35.5 | 35.5 | 23.6 | 32.2 | 492 | 1 | 90838 99213 99214 99215 | $77K |
| Jul 2022 | More hours than a day holds, even counting one unit per claim line | 31.0 | 31.7 | 21.2 | 31.2 | 523 | 1 | 90838 99213 99214 99215 | $70K |
| Aug 2022 | More hours than a day holds, even counting one unit per claim line | 35.9 | 37.6 | 25.0 | 33.8 | 519 | 1 | 90838 99213 99214 99215 | $81K |
| Sep 2022 | More hours than a day holds, even counting one unit per claim line | 39.3 | 41.6 | 27.7 | 37.8 | 544 | 1 | 90838 99213 99214 99215 | $87K |
| Oct 2022 | More hours than a day holds, even counting one unit per claim line | 37.0 | 40.0 | 26.7 | 39.4 | 537 | 1 | 90838 99213 99214 99215 | $85K |
| Nov 2022 | More hours than a day holds, even counting one unit per claim line | 40.0 | 44.2 | 29.5 | 40.2 | 532 | 1 | 90838 99213 99214 99215 | $90K |
| Dec 2022 | More hours than a day holds, even counting one unit per claim line | 33.7 | 36.3 | 24.2 | 34.1 | 467 | 1 | 90838 99213 99214 99215 | $77K |
| Jan 2023 | More hours than a day holds, even counting one unit per claim line | 37.3 | 37.3 | 24.9 | 35.1 | 484 | 1 | 90838 99213 99214 99215 | $86K |
| Feb 2023 | More hours than a day holds, even counting one unit per claim line | 40.8 | 41.6 | 27.7 | 38.8 | 480 | 1 | 90838 99213 99214 99215 | $86K |
| Mar 2023 | More hours than a day holds, even counting one unit per claim line | 40.5 | 43.7 | 29.1 | 39.3 | 519 | 1 | 90838 99213 99214 99215 99401 | $97K |
| Apr 2023 | More hours than a day holds, even counting one unit per claim line | 33.9 | 36.5 | 24.3 | 36.5 | 468 | 1 | 90837 90838 99213 99214 99215 | $79K |
| May 2023 | More hours than a day holds, even counting one unit per claim line | 30.6 | 32.8 | 21.9 | 29.5 | 448 | 1 | 90838 99213 99214 99215 | $73K |
| Jun 2023 | More hours than a day holds, even counting one unit per claim line | 24.4 | 26.7 | 17.8 | 24.3 | 412 | 1 | 90837 90838 99213 99214 99215 | $58K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | ISELANDE DESYR, DNP PMHNP-BC FNP-BC (also ISELANDE DESYR) |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | January 17, 2017, last updated December 8, 2020 |
| Practice location | 2875 MAIN STREET, SUITE 2A, Stratford, CT 06614-4979, 929-447-2053 |
| Mailing address | 2875 MAIN ST, STE 2A, Stratford, CT 06614-4979 |
| Specialties | Nurse Practitioner, Family (363LF0000X, license 6914 CT) Nurse Practitioner, Psych/Mental Health (363LP0808X, primary, license 6914 CT) |
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 | |
|---|---|---|---|---|---|---|---|
| 90838 | Psychotherapy with evaluation and management visit, 1 hour | $950K | 39% | $135 | $87 (top 5% from $222) | 80th percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $819K | 33% | $190 | $88 (top 5% from $210) | 93rd percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $430K | 18% | $120 | $60 (top 5% from $133) | 93rd percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $125K | 5% | $100 | $44 (top 5% from $110) | 94th percentile | |
| T1015 | Medicaid service code | $115K | 5% | $239 | $182 (top 5% from $488) | 71st percentile | |
| 90837 | Psychotherapy, 1 hourhistory of abuse | $6K | 0% | $115 | $191 (top 5% from $442) | too few months to rank | |
| 90792 | Psychiatric diagnostic evaluation with medical services | $5K | 0% | $113 | $112 (top 5% from $313) | too few months to rank | |
| 99401 | Preventive counseling individual 15 min | $1K | 0% | $20 | $16 (top 5% from $46) | too few months to rank |
In this area
23 providers in Stratford, CT carry an indicator in the public record, with $8.8M at stake between them. The most common is more hours than a day holds, on 9 of them, followed by paid after a public list action on 6. 5 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | ANANTHAKUMAR THILLAINATHAN Stratford, CT, ranked 418 | $461 |
|
| 1 | MDCARENOW LLC Stratford, CT, ranked 453 | $45 |
|
| 1 | JEANNIE PASACRETA Newtown, CT, ranked 494 | $0 |
|
| 1 | HELPING HANDS ACADEMY Bridgeport, CT, ranked 606 | $0 |
|
| 1 | HAMED GHORBANI-MOGHADDAM Bridgeport, CT, ranked 617 | $0 |
|
| 3 | SOUTHPORT CENTER FOR NURSING & REHABILITATION, LLC Southport, CT, ranked 1478 | $25K |
|
| 3 | HEWITT HEALTH & REHABILITATION Shelton, CT, ranked 5555 | $0 |
|
| 3 | GARDNER HEIGHTS HEALTH CARE CENTER Shelton, CT, ranked 5752 | $0 |
|
Recent enforcement in CT
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.