Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NY › Flushing › NPI 1396078127
Physician

Chen, Helen

Chen, Helen was paid $290K by Medicaid between Jan 2018 and Nov 2024, across 74 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoCHEN, HELEN
FLUSHING, NY 11354
33aNPI1396078127assigned 09/11/2009
28Total paid$290K
24GClaims23,288
24DCodes billed74
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in New York

Rank by total paid#326 of 2,605
Median peer was paid$10K
This provider vs. median29×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20182,034$51K
20192,611$55K
20202,494$30K
20214,460$61K
20223,565$45K
20234,185$26K
2024incomplete3,939$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 49% 2,636 2,242 $142K
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 29% 1,867 1,532 $84K
99490 Ccm add 20min 2.5% 477 476 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2.2% 471 451 $6K
99441 2.2% 244 231 $6K
0012A 1.9% 154 154 $6K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 1.2% 311 307 $3K
0011A 1.2% 116 116 $3K
99401 <1% 193 185 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 57 55 $3K
90674 <1% 102 102 $3K
G0444 Annual depression screening, 5 to 15 minutes <1% 447 438 $2K
62 more codes
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 287 $2K
0004A <1% 41 $2K
90686 <1% 100 $2K
90682 <1% 30 $1K
0001A <1% 35 $1K
99487 Ccm add 20min <1% 15 $1K
0002A <1% 32 $1K
93000 <1% 122 $996.84
H0001 Alcohol and/or drug assessment <1% 58 $920.06
36415 Collection of venous blood by venipuncture <1% 1,181 $841.93
99491 Ccm add 20min <1% 15 $783.65
0064A <1% 45 $762.70
96127 <1% 174 $714.06
G9621 Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling <1% 188 $656.00
G9622 Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method <1% 343 $649.50
99442 <1% 13 $619.89
99497 <1% 44 $560.69
99397 <1% 131 $353.03
99439 <1% 23 $286.13
3078F <1% 1,563 $277.61
3074F <1% 1,145 $250.00
99051 <1% 138 $187.78
99408 <1% 122 $150.54
G8420 Bmi is documented within normal parameters and no follow-up plan is required <1% 498 $139.50
H0049 Alcohol and/or drug screening <1% 15 $97.50
99000 <1% 368 $90.78
3079F <1% 356 $55.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 44 $54.00
0134A <1% 17 $40.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented <1% 280 $18.00
3075F <1% 356 $17.50
G8752 Most recent systolic blood pressure < 140 mmhg <1% 241 $1.00
G8754 Most recent diastolic blood pressure < 90 mmhg <1% 354 $1.00
90679 <1% 33 $0.04
1160F 0% 656 $0.00
3725F 0% 224 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 667 $0.00
1033F 0% 95 $0.00
99072 0% 215 $0.00
1159F 0% 766 $0.00
90662 0% 86 $0.00
4013F 0% 34 $0.00
96160 0% 15 $0.00
3077F 0% 274 $0.00
4004F 0% 113 $0.00
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 single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 0% 72 $0.00
3016F 0% 146 $0.00
1158F 0% 19 $0.00
3008F 0% 2,254 $0.00
1220F 0% 185 $0.00
3048F 0% 159 $0.00
4037F 0% 172 $0.00
2000F 0% 1,047 $0.00
G0008 Administration of influenza virus vaccine 0% 221 $0.00
1036F 0% 76 $0.00
G9275 Documentation that patient is a current non-tobacco user 0% 79 $0.00
90694 0% 98 $0.00
99429 0% 14 $0.00
1000F 0% 46 $0.00
3044F 0% 31 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 0% 12 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 30 $0.00

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.