Helton, Jonathan

Helton, Jonathan was paid $107K by Medicaid between Apr 2018 and Aug 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.

33Billing provider infoHELTON, JONATHAN
HAZARD, KY 41701

33aNPI1750658621assigned 11/21/2011

33bProvider typeNurse Practitioner

28Total paid$107K

24GClaims4,111

24DCodes billed10

24AFirst – last monthApr 2018 – Aug 2024

Compared with peers

Next to other Nurse Practitioner providers in Kentucky

Rank by total paid#122 of 260

Median peer was paid$89K

This provider vs. median1.2×

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	523	$17K
2019	779	$22K
2020	805	$18K
2021	711	$17K
2022	635	$17K
2023	482	$13K
2024incomplete	176	$5K

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	76%	3,148	2,561	$81K
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	15%	453	367	$16K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.8%	110	92	$5K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.4%	130	106	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.2%	64	58	$1K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.1%	19	16	$1K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	22	22	$477.00
36415	Collection of venous blood by venipuncture	<1%	104	93	$418.07
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	49	39	$342.85
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	12	12	$193.20

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.