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NPI 1437314812 · Saint Louis, MO · Foot & Ankle Surgery Podiatrist
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Raymond Brickhouse is a foot & ankle surgery podiatrist provider located in Saint Louis, Missouri. This profile covers 20 Medicare and 14 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)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Raymond Brickhouse |
| Address | 3535 S Jefferson Ave Ste 201 |
| City | Saint Louis |
| State | MO |
| ZIP | 63118 |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| NPI Enumerated | July 24, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.3M |
| Medicaid | $197.7K |
The provider�RAYMOND BRICKHOUSE has generated $1.3M in lifetime Medicare revenue compared with $197.7K in lifetime Medicaid revenue, indicating Medicare is the dominant payer by scale for this practice. The disparity in absolute dollars suggests the provider operates primarily in the Medicare space while maintaining a smaller Medicaid caseload rather than being balanced across both payers.
Revenue concentration on Medicare is extremely high: the precomputed top 3 Medicare codes account for 93.7% of the providers total Medicare revenue, and the single Medicare code Q4217 alone accounts for $1.1M (91.1% of Medicare revenue). This indicates the providers Medicare business is highly dependent on a specific wound/skin substitute add-on product or related procedure set rather than a broad portfolio of E/M or minor procedure billing.
On Medicaid the revenue concentration is also substantial: the precomputed top 3 Medicaid codes represent 86.2% of total Medicaid revenue, with 99214 (office E/M, established patient) and 99213 comprising the majority of Medicaid receipts (99214 = $97.7K, 49.3%; 99213 = $48.4K, 24.4%). This payer mix suggests the provider sees a high volume of established-patient office visits in Medicaid, with fewer high-revenue device or graft procedures billed to that payer.
The code-level competitive standing differs by payer and code: for Medicare, Q4217 ranks #37 of 65 providers nationally (44th percentile), which is around the middle of peer volume for that code and indicates a typical, unremarkable national presence despite the large Medicare dollars tied to it. For Medicaid, 99214 ranks #395 of 3166 in-state (88th percentile) and 99213 ranks #686 of 4312 (84th percentile), both indicating the provider is a relatively high-volume in-state biller for established office visits compared with peers.
The clinical mix is consistent with a Foot & Ankle Surgery / Podiatry practice that provides wound care and routine procedural foot services: high Medicare revenue concentrated in Q4217 (a wound/skin substitute add-on) and supplemental codes such as debridement (97597), skin substitute grafting (15275), and debridement of nails (11720, 11721). On Medicaid the predominance of E/M codes (99214, 99213) together with procedural codes for hyperkeratotic lesion removal (11056) and arterial physiologic studies (93922) suggests a workflow focused on clinic-based follow-up and minor procedures rather than inpatient surgical throughput.
Tenure in the Medicare/Medicaid datasets is long: the providers NPI was enumerated on 2008-07-24 (~18 years ago), which supports interpretation of these patterns as the output of an established practice rather than a brief billing episode. The long tenure combined with concentrated code usage may reflect an entrenched clinical focus on wound care products and office-based podiatry services.
Across multiple lower-revenue Medicare codes the providers rankings are typically described as "typical, unremarkable volume" and fall in middle percentiles (e.g., 99213 at the 87th national percentile is still labeled typical in the data), indicating the practice does not broadly dominate most service lines nationally but concentrates high-dollar activity in a small number of items. Similarly, several Medicaid procedure codes (e.g., 11056 and 93922) rank highly in-state (87th and 79th percentiles respectively), showing pockets of above-typical activity regionally while overall Medicaid revenue remains modest.
Operational risk from concentration should be noted: because 91.1% of Medicare revenue is tied to Q4217 and the top three Medicare codes supply 93.7% of Medicare dollars, any changes in coverage, reimbursement, or utilization of that specific wound/skin substitute add-on could materially affect Medicare revenue for this provider. By contrast, Medicaid revenue is more distributed across high-volume office visits (99214/99213), so payer-specific policy shifts would likely have different impacts across the two programs.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
20 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| Q4217 | Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure) | 1,200 | $950 | $1.1M |
| 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… | 290 | $60 | $18.8K |
| 11056 | The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 250 | $50 | $13.4K |
| 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… | 130 | $90 | $11.8K |
| 11720 | The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails. | 390 | $20 | $9.1K |
| 11055 | The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette. | 180 | $50 | $8.5K |
| 11042 | The 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. | 70 | $90 | $6.8K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 220 | $30 | $6.7K |
| 15275 | The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, up to… | 50 | $120 | $5.8K |
| 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… | 50 | $110 | $5.7K |
Showing 1–10 of 20
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
20 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| Q4217 | 2 | 10 | 2,610 | $920 | $2.4M |
| 11721 | 145 | 210 | 360 | $30 | $14.8K |
| 99214 | 3,881 | 8,960 | 100 | $80 | $13.9K |
| 99233 | 1,661 | 2,660 | 70 | $90 | $12.1K |
| 11042 | 113 | 210 | 90 | $60 | $10.4K |
| 11056 | 29 | 140 | 90 | $50 | $9.7K |
| 99213 | 922 | 8,730 | 70 | $50 | $7K |
| 11720 | 27 | 130 | 120 | $20 | $5.9K |
| 11057 | 25 | 30 | 80 | $60 | $5.7K |
| 15275 | 10 | 20 | 50 | $90 | $5.3K |
Showing 1–10 of 20
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 2,270 | $40 | $97.7K |
| 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… | 1,790 | $30 | $48.4K |
| 11056 | The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 1,070 | $20 | $24.7K |
| 93922 | Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral | 270 | $30 | $8K |
| 11720 | The provider surgically debrides (debulks or removes) 1 to 5 abnormal, diseased, or infected nails. | 1,120 | $10 | $5.6K |
| 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… | 60 | $60 | $3.6K |
| 11042 | The 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. | 70 | $40 | $2.9K |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 240 | $10 | $2.9K |
| 11055 | The provider removes a single benign hyperkeratotic lesion by using surgical instruments like a scalpel or curette. | 80 | $20 | $1.5K |
| 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… | 30 | $40 | $1.1K |
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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
14 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 395 | 3,170 | 230 | $70 | $128.1K |
| 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… | 686 | 4,310 | 300 | $60 | $110.8K |
| 11042 | The 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. | 61 | 80 | 350 | $60 | $90.8K |
| 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… | 300 | 580 | 60 | $110 | $42K |
| 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… | 560 | 860 | 60 | $70 | $33.9K |
| 11056 | The provider removes 2 to 4 benign hyperkeratotic lesions by using surgical instruments like a scalpel or curette. | 8 | 50 | 130 | $20 | $11.1K |
| 11721 | The provider surgically debrides (debulks or removes) 6 or more abnormal, diseased, or infected nails. | 111 | 160 | 510 | $10 | $10.9K |
| 93922 | Noninvasive physiologic studies of upper or lower extremity arteries, single level, bilateral | 6 | 30 | 90 | $20 | $9.8K |
| 73630 | In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality. | 77 | 210 | 110 | $20 | $9.4K |
| 99304 | The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves straightforward or low medical decision making or the provider… | 39 | 50 | 50 | $30 | $6.5K |
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Other providers in the same ZIP code as Raymond Brickhouse, ranked by combined Medicare and Medicaid revenue.
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