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

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

Richard Limbert (NPI 1518222082)

Field	Value
Entity Type	Individual
Organization	Richard Limbert
Address	2116 Megan Dr Ste 102
City	Cape Girardeau
State	MO
ZIP	63701
Taxonomy	Dermatology Physician
NPI Enumerated	July 10, 2012

Payer Source	Total Paid
Medicare	$2.5M
Medicaid	$0

Key Findings

This provider is heavily Medicare-focused in scale: lifetime Medicare revenue is $2.5M while there is no Medicaid billing on file, making the practice effectively single‑payer by volume and highly dependent on Medicare reimbursement patterns. The absence of any Medicaid claims suggests a patient mix and contracting footprint skewed toward older adults or toward private collections beyond state Medicaid panels.

Revenue is highly concentrated in a few codes: the precomputed top three Medicare codes account for 52.8% of this provider's total Medicare revenue, with J3245 alone representing $682K revenue (29.8% of Medicare revenue), 17311 generating $352.1K (15.4%), and 88305 contributing $175.7K (7.7%). This concentration indicates that biologic injections and Mohs/pathology work are the primary revenue drivers for the practice.

The CPT/HCPCS mix signals a surgical dermatology practice with integrated procedural and medical management: high-revenue codes include Mohs surgery codes such as 17311 and 17312, diagnostic pathology 88305, and biologic drug administration J3245. In addition, frequent billing for biopsies (11102, 11103), lesion destruction (17000, 17003, 17004), and complex repairs (13132, 13121, 13151) shows a full surgical workflow from lesion diagnosis through excision and reconstruction.

Competitive standing varies by service line: 17311 ranks #164 of 2969 providers nationally (95th percentile; notably above typical national volume), indicating the provider is a high-volume Mohs operator relative to peers, whereas J3245 ranks #46 of 225 (80th percentile; typical, unremarkable volume) and 88305 ranks #920 of 14580 (94th percentile; typical, unremarkable volume), positioning the clinician as a strong regional Mohs/pathology contributor but not a dominant national drug-administering outlier.

The practice shows exceptional throughput of office E/M and common dermatologic procedures: codes such as 99213 (2.9K claims, ranks #216 of 457151 providers, 100th percentile; extreme outlier), 99214 (1.8K claims, 100th percentile; extreme outlier), 11102 (1.3K claims, 100th percentile; extreme outlier), and 17000 (2.2K claims, 100th percentile; extreme outlier) indicate unusually high visit and procedure volumes compared with national peers, consistent with a high‑volume clinic managing large numbers of procedural dermatology patients.

Pathology and in‑house lab work are meaningful secondary revenue streams: 88305 (3.5K claims, $50 avg paid/claim, $175.7K revenue) and related lab stains such as 88341 and 88312 appear on the top list, suggesting the practice either processes specimens in-house or routinely bills for pathology interpretation associated with surgical procedures. This complement of pathology billing aligns with the high Mohs and biopsy volumes.

Tenure and stability are evident: the NPI was enumerated on 2012-07-10 (~14 years ago), indicating a long-standing presence in the Medicare program that supports consistent high-volume billing for both procedural and E/M services over an extended period. That longevity plus a broad set of high-volume CPTs suggests an established referral base and procedural practice.

From a payer-mix and operational risk perspective, the combination of large revenue dependence on a small set of codes (top 3 = 52.8% of Medicare revenue) and the complete lack of Medicaid billing implies concentration risk: changes in reimbursement or utilization for J3245 or Mohs-related codes like 17311 could materially affect the provider’s revenue stream, while the broad high-volume procedure portfolio (many codes flagged as "extreme outlier" or "notably above typical") indicates operational capacity that could be leveraged if payer mix shifts or contracts expand.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

63 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3245	Injection, tildrakizumab, 1 mg	6,200	$110	$682K
17311	Mohs surgery is a multi–staged procedure that is performed to excise a malignant lesion layer by layer, along with histo–pathological assessment. The assessment is performed to ensure that the…	780	$450	$352.1K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	3,510	$50	$175.7K
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…	2,930	$60	$167.2K
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…	1,780	$80	$145.6K
17312	Mohs surgery is a multi–staged method of excising a malignant lesion layer by layer, along with histo–pathological assessment, to ensure negative malignancy of the margins.	310	$300	$93.6K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	1,300	$60	$72.6K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	2,170	$30	$69.5K
13132	The provider repairs a wound measuring 2.6 cm to 7.5 cm in size of the cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet, which may require scar revision, debridement extensive…	380	$180	$69.5K
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…	880	$70	$59.6K

Showing 1–10 of 63

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 63 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Richard Limbert — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

63 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3245	2	10	4,100	$110	$475.4K
17311	4	60	240	$400	$128.4K
17312	5	50	140	$300	$48.7K
88305	11	290	540	$30	$30.7K
17313	7	40	60	$400	$26.5K
13132	2	60	70	$190	$20.4K
J7308	2	10	30	$300	$20K
15260	7	30	20	$700	$18.3K
14301	9	30	20	$690	$15.9K
99214	13	8,960	100	$80	$13.9K

Showing 1–10 of 63

Related Providers

Other providers that share a Tax Identification Number (TIN) with Richard Limbert, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charles Moon	MO	Dermatology Physician	$2.7M	$0
Theresa Mattingly	MO	Dermatology Physician	$205.9K	$0
Amy Willingham	MO	Physician Assistant	$172.4K	$0
Heather Miller	MO	Family Nurse Practitioner	$109.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southeast Hospital	MO	General Acute Care Hospital	$0	$34.7M
Southeast Missouri Area Agency On Aging, Inc.	MO	Home Delivered Meals	$0	$25.8M
Catholic Charities Of Southern Missouri For Cape County	MO	Case Management Agency	$0	$9.2M
Aspirations For Independent Living LLC	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$8.4M
At Home Help, LLC Dba Comfort Keepers	MO	Home Health Agency	$0	$7.8M
Cape County Private Ambulance Service, Inc.	MO	Ambulance	$1.3M	$5.5M
Southeast Missouri Hospital Physicians, LLC	MO	Family Medicine Physician	$0	$6.6M
Extra Hands Incorporated	MO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$5.4M
Southeast Mo Area Agency On Aging	MO	Case Management Agency	$0	$5.4M
Southeast Missouri State University	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.2M

Richard Limbert — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References