T Michael Helton MD PLLC

T Michael Helton MD PLLC was paid $11K by Medicaid between Jan 2018 and Oct 2019, across 3 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 48% of everything it billed.

33Billing provider infoT MICHAEL HELTON MD PLLC
MURFREESBORO, TN 37130

33aNPI1043220494assigned 08/08/2006

33bProvider typeFamily Medicine Physician

28Total paid$11K

24GClaims1,509

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2019

Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#485 of 754

Median peer was paid$34K

This provider vs. median0.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	778	$4K
2019	731	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99308	Subsequent nursing facility care, per day, straightforward	48%	1,007	769	$5K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	42%	388	348	$5K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	9.8%	114	100	$1K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialHELTON, THOMAS (OWNER OPERATOR)