Physician
Helm, Robert
Helm, Robert was paid $40K by Medicaid between Jan 2018 and Aug 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoHELM, ROBERT
BOSTON, MA 02118
BOSTON, MA 02118
33aNPI1235275991assigned 01/29/2007
33bProvider typeCardiovascular Disease Physician
28Total paid$40K
24GClaims743
24DCodes billed5
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in Massachusetts
Rank by total paid#42 of 321
Median peer was paid$2K
This provider vs. median25×
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 | 204 | $38K | |
| 2019 | 81 | $333.05 | |
| 2020 | 43 | $175.19 | |
| 2021 | 127 | $617.81 | |
| 2022 | 134 | $571.40 | |
| 2023 | 100 | $478.29 | |
| 2024incomplete | 54 | $279.11 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 37 | 36 | $16K |
| 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 | 35% | 32 | 31 | $14K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 18% | 14 | 12 | $7K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 7.6% | 647 | 514 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 13 | 12 | $119.73 |
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.