Helms Medical Services, LLC

Helms Medical Services, LLC was paid $1.47M by Medicaid between Jan 2018 and Nov 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.

33Billing provider infoHELMS MEDICAL SERVICES, LLC
EAST ORANGE, NJ 07017

33aNPI1447591797assigned 03/12/2013

33bProvider typeMental Health Counselor

28Total paid$1.47M

24GClaims53,963

24DCodes billed59

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Mental Health Counselor providers in New Jersey

Rank by total paid#23 of 84

Median peer was paid$669K

This provider vs. median2.2×

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

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	28%	9,237	7,680	$407K
H0006	Alcohol and/or drug services; case management	23%	4,554	3,058	$338K
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	23%	5,380	4,703	$335K
90792	Psychiatric diagnostic evaluation with medical services	7.9%	355	324	$116K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	4.8%	2,798	2,530	$71K
99402		3.8%	1,503	1,476	$56K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	1.4%	405	393	$20K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	772	692	$13K
G0444	Annual depression screening, 5 to 15 minutes	<1%	1,601	1,483	$10K
99386		<1%	209	195	$9K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	163	161	$9K
94010		<1%	471	457	$8K

47 more codes

96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	1,350	$8K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	<1%	41	$8K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	158	$7K
36415	Collection of venous blood by venipuncture	<1%	5,123	$7K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	94	$7K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	515	$6K
99385		<1%	126	$5K
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	<1%	41	$5K
99406		<1%	754	$4K
99443		<1%	183	$3K
99490	Ccm add 20min	<1%	593	$3K
93000		<1%	181	$2K
86580		<1%	511	$2K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	152	$2K
H0033	Oral medication administration, direct observation	<1%	12	$2K
96118		<1%	35	$1K
96160		<1%	646	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	71	$574.86
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	17	$549.12
G0442	Annual alcohol misuse screening, 5 to 15 minutes	<1%	103	$450.95
3008F		<1%	1,375	$324.30
99439		<1%	71	$273.43
90688		<1%	17	$196.78
G0397	Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes	<1%	31	$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)).	<1%	29	$170.22
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	<1%	12	$103.29
99000		<1%	1,404	$99.32
3074F		<1%	3,333	$82.04
96132		<1%	15	$70.64
3078F		<1%	2,952	$70.05
99408		<1%	15	$68.74
3079F		<1%	2,513	$67.00
3075F		<1%	2,099	$53.00
99001		<1%	42	$38.28
99409		<1%	20	$25.36
1160F		<1%	836	$20.00
96161		<1%	13	$13.05
3077F		<1%	90	$6.00
4010F		<1%	50	$5.00
3044F		<1%	147	$4.00
1159F		<1%	201	$3.00
3080F		<1%	50	$2.00
1126F		<1%	222	$1.00
97802		0%	22	$0.00
3048F		0%	44	$0.00
1125F		0%	85	$0.00
99072		0%	121	$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.

From NPPES

Who's on the registration

Authorized officialHELMS, ELAINE (CHIEF EXCUTIVE OFFICER)