Cumpton, Helen
Cumpton, Helen was paid $13K by Medicaid between Dec 2022 and Apr 2023, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoCUMPTON, HELEN
ASHLAND, KY 41102
ASHLAND, KY 41102
33aNPI1811178221assigned 11/14/2007
33bProvider typeRegistered Nurse
28Total paid$13K
24GClaims326
24DCodes billed3
24AFirst – last monthDec 2022 – Apr 2023
Compared with peers
Next to other Registered Nurse providers in Kentucky
Rank by total paid#10 of 20
Median peer was paid$12K
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
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 | |
|---|---|---|---|
| 2022 | 97 | $3K | |
| 2023 | 229 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 60% | 197 | 138 | $8K |
| 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 | 39% | 90 | 81 | $5K |
| 90785 | <1% | 39 | 32 | $110.04 |
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.