RICHARD HELTON
Family Medicine Physician · COALGATE, OK
Individual Active NPI 1972545820
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 400 | 3,762 | $326,343 | $217,126 | $168,185 |
| 2023 | 572 | 5,969 | $604,461 | $365,839 | $286,090 |
| 2022 | 756 | 7,544 | $809,394 | $501,113 | $394,280 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 1,605 | $37 | $29 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 346 | $63 | $50 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 185 | $119 | $78 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 178 | $58 | $43 |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 162 | $36 | $28 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 159 | $118 | $93 |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 149 | $59 | $46 |
| 99238 | Hospital discharge day management, 30 minutes or less | 120 | $62 | $49 |
| 96127 | Assessment of emotional or behavioral problems | 117 | $4 | $3 |
| 96138 | Administration of psychological or neuropsychological test by technician, first 30 minutes | 105 | $30 | $24 |
| 96132 | Evaluation of neuropsychological test, first hour | 105 | $121 | $89 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 87 | $45 | $35 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 2096 | OK |
| Rural Health Clinic/Center | 261QR1300X | 2096 | OK |
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.