Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HELMS MEDICAL SERVICES, LLC

NPI: 1447591797 · EAST ORANGE, NJ 07017 · Mental Health Counselor · NPI assigned 03/12/2013

$1.47M
Total Medicaid Paid
53,963
Total Claims
46,540
Beneficiaries
59
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHELMS, ELAINE (CHIEF EXCUTIVE OFFICER)
NPI Enumeration Date03/12/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,410 $161K
2019 4,773 $126K
2020 8,752 $145K
2021 6,139 $172K
2022 11,821 $329K
2023 10,900 $331K
2024 6,168 $204K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,237 7,680 $407K
H0006 Alcohol and/or drug services; case management 4,554 3,058 $338K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,380 4,703 $335K
90792 Psychiatric diagnostic evaluation with medical services 355 324 $116K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,798 2,530 $71K
99402 1,503 1,476 $56K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 405 393 $20K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 772 692 $13K
G0444 Annual depression screening, 5 to 15 minutes 1,601 1,483 $10K
99386 209 195 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 163 161 $9K
94010 471 457 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,350 1,214 $8K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 41 41 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 158 154 $7K
36415 Collection of venous blood by venipuncture 5,123 4,847 $7K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 94 93 $7K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 515 491 $6K
99385 126 122 $5K
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 41 41 $5K
99406 754 719 $4K
99443 183 176 $3K
99490 Ccm add 20min 593 577 $3K
93000 181 179 $2K
86580 511 477 $2K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 152 146 $2K
H0033 Oral medication administration, direct observation 12 12 $2K
96118 35 34 $1K
96160 646 581 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 71 68 $574.86
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 17 15 $549.12
G0442 Annual alcohol misuse screening, 5 to 15 minutes 103 101 $450.95
3008F 1,375 1,221 $324.30
99439 71 69 $273.43
90688 17 17 $196.78
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 31 29 $185.60
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 29 29 $170.22
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 12 12 $103.29
99000 1,404 1,176 $99.32
3074F 3,333 2,654 $82.04
96132 15 13 $70.64
3078F 2,952 2,384 $70.05
99408 15 15 $68.74
3079F 2,513 2,143 $67.00
3075F 2,099 1,782 $53.00
99001 42 39 $38.28
99409 20 18 $25.36
1160F 836 754 $20.00
96161 13 13 $13.05
3077F 90 87 $6.00
4010F 50 45 $5.00
3044F 147 140 $4.00
1159F 201 175 $3.00
3080F 50 47 $2.00
1126F 222 195 $1.00
97802 22 21 $0.00
3048F 44 41 $0.00
1125F 85 79 $0.00
99072 121 102 $0.00