CRYSTAL HELTON, FNP
Family Nurse Practitioner · LENOIR CITY, TN
Individual Active NPI 1346940376
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 535 | 6,912 | $444,293 | $200,739 | $156,903 |
| 2023 | 334 | 7,704 | $485,863 | $221,782 | $176,742 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J2357 | Injection, omalizumab, 5 mg | 1,800 | $36 | $28 |
| 95117 | Professional service for multiple injections of allergen | 648 | $9 | $5 |
| 95115 | Professional service for single injection of allergen | 349 | $8 | $4 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 152 | $99 | $67 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 97 | $71 | $49 |
| 96372 | Injection of drug or substance under skin or into muscle | 88 | $11 | $9 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 72 | $101 | $101 |
| 36415 | Insertion of needle into vein for collection of blood sample | 64 | $9 | $9 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 64 | $13 | $10 |
| 80053 | Blood test, comprehensive group of blood chemicals | 34 | $10 | $10 |
| 96127 | Assessment of emotional or behavioral problems | 33 | $4 | $3 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 29 | $13 | $13 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ✓ | 33606 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- No
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.