Helms, Mark

Helms, Mark was paid $175K by Medicaid between Jan 2018 and Sep 2018, across 7 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 52% of everything it billed.

33Billing provider infoHELMS, MARK
TUCSON, AZ 85704

33aNPI1538233671assigned 11/20/2006

33bProvider typePsychiatry Physician

28Total paid$175K

24GClaims3,466

24DCodes billed7

24AFirst – last monthJan 2018 – Sep 2018

Compared with peers

Next to other Psychiatry Physician providers in Arizona

Rank by total paid#34 of 113

Median peer was paid$36K

This provider vs. median4.8×

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	3,466	$175K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99231	Subsequent hospital care, per day, straightforward or low complexity	52%	2,526	687	$92K
99223	Prolong inpt eval add15 m	19%	204	204	$33K
99238	Hospital discharge day management, 30 minutes or less	10%	291	289	$18K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	8.4%	224	106	$15K
99239	Hospital discharge day management, more than 30 minutes	3.9%	90	86	$7K
99221		3.7%	96	82	$7K
99222	Initial hospital care, per day, moderate complexity	2.5%	35	35	$4K

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.