Helm, Robert
Helm, Robert was paid $35K by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is 92015, Determination of refractive state — 50% of everything it billed.
33Billing provider infoHELM, ROBERT
GREENEVILLE, TN 37745
GREENEVILLE, TN 37745
33aNPI1497794184assigned 06/06/2006
33bProvider typeOptometrist
28Total paid$35K
24GClaims1,220
24DCodes billed3
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#285 of 698
Median peer was paid$19K
This provider vs. median1.8×
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 | 220 | $7K | |
| 2019 | 268 | $8K | |
| 2020 | 157 | $5K | |
| 2021 | 69 | $2K | |
| 2022 | 292 | $7K | |
| 2023 | 145 | $4K | |
| 2024incomplete | 69 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 50% | 880 | 859 | $17K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 44% | 288 | 278 | $15K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.5% | 52 | 49 | $2K |
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.