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    OpenPayerNPI Medicare & MedicaidStephen Sehy
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    Stephen Sehy — Billing Profile & Reimbursement Data

    NPI 1326040981 · Saint Louis, MO · Podiatrist

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    Stephen Sehy is a podiatrist provider located in Saint Louis, Missouri. This profile covers 21 Medicare and 5 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
    OrganizationStephen Sehy
    Address10430 Page Ave
    CitySaint Louis
    StateMO
    ZIP63132
    TaxonomyPodiatrist
    NPI EnumeratedAugust 12, 2005

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

    Payer SourceTotal Paid
    Medicare$166.5K
    Medicaid$5.6K

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11042The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.490$90$45K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.1,100$30$33K
    11055The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.300$50$13.9K
    99203The 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…180$70$12.7K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.200$60$10.7K
    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…140$60$8.2K
    17110The 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…100$70$7K
    29581The provider applies a layered bandage to the lower leg, ankle, and foot, to treat venous stasis ulcers and venous insufficiency, the failure of the blood veins immediately below the skin. A…80$70$5.7K
    73630In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.210$30$5.2K
    11720The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails.250$20$5.2K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1172125210360$30$14.8K
    992147,9588,960100$80$13.9K
    110421521090$60$10.4K
    1711016234090$70$10.2K
    110563814090$50$9.7K
    992132,4458,73070$50$7K
    1172042130120$20$5.9K
    11055714070$40$4.8K
    2958131070$50$3.4K
    99203972,95030$70$3.2K

    Showing 1–10 of 21

    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.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.1,640$1$3.3K
    99203The 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…80$30$2.2K
    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…20$20$360
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.30$10$140
    11055The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.10$0$0

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Missouri median

    5 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…3,8244,310300$60$110.8K
    99203The 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…37886060$70$33.9K
    11056The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette.4250130$20$11.1K
    11721The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails.49160510$10$10.9K
    11055The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette.263060$10$4.5K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Emerest Health Cds Of MissouriMOPersonal Care Attendant$0$120.3M
    Home Delivery Incontinent Supplies Co IncMODurable Medical Equipment & Medical Supplies$0$76.9M
    Southern Home Care Services, Inc.MOIn Home Supportive Care Agency$0$44.2M
    New Beginnings CdsMOIn Home Supportive Care Agency$0$35.2M
    United Cerebral Palsy HeartlandMODevelopmentally Disabled Services Day Training Agency$0$30.2M
    United Cerebral Palsy HeartlandMODevelopmentally Disabled Services Day Training Agency$0$23.9M
    Healthline Consumer Directed Care, LLCMONursing Care Agency$0$20M
    Healthline In-home Care, LLCMOIn Home Supportive Care Agency$0$16.5M
    Shea Home Care, Inc.MOIn Home Supportive Care Agency$0$11.3M
    I Care We Care Home Care, LLCMOHome Health Agency$0$7.8M

    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. Missouri Distribution
    Stephen Sehy — 2 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri
    Medicaid Revenue by Year vs. Missouri Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Missouri Distribution
    Stephen Sehy — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri