HAROLD HELTON, M.D.
Nephrology Physician · SOMERSET, KY
Individual Active NPI 1063404481
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 328 | 1,037 | $353,846 | $184,962 | $140,481 |
| 2023 | 367 | 1,365 | $435,476 | $230,062 | $175,521 |
| 2022 | 412 | 1,697 | $569,748 | $300,908 | $233,815 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 269 | $327 | $254 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 267 | $117 | $81 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 164 | $111 | $87 |
| 90935 | Hemodialysis procedure with physician evaluation | 78 | $66 | $53 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 73 | $73 | $59 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 66 | $162 | $126 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 37 | $152 | $104 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 29 | $272 | $198 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ✓ | 33190 | KY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.