Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Helfrich, David

Helfrich, David was paid $7K by Medicaid between Dec 2020 and Oct 2024, across 3 billing codes. Its largest line is 99242, — 52% of everything it billed.

33Billing provider infoHELFRICH, DAVID
BETHEL PARK, PA 15102
33aNPI1770565095assigned 11/14/2005
33bProvider typeRheumatology Physician
28Total paid$7K
24GClaims160
24DCodes billed3
24AFirst – last monthDec 2020 – Oct 2024
Compared with peers

Next to other Rheumatology Physician providers in Pennsylvania

Rank by total paid#37 of 77
Median peer was paid$7K
This provider vs. median1.1×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
202015$910.05
202149$3K
202227$1K
202332$1K
2024incomplete37$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99242 52% 64 64 $4K
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 43% 84 82 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.6% 12 12 $346.50

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.