Scott L Helgeson Od PLLC
Scott L Helgeson Od PLLC was paid $25K by Medicaid between Nov 2020 and Mar 2024, across 4 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 70% of everything it billed.
33Billing provider infoSCOTT L HELGESON OD PLLC
MCALLEN, TX 78503
MCALLEN, TX 78503
33aNPI1871020099assigned 05/18/2017
33bProvider typeOptometrist
28Total paid$25K
24GClaims724
24DCodes billed4
24AFirst – last monthNov 2020 – Mar 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#748 of 1,408
Median peer was paid$30K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2020 | 78 | $2K | |
| 2021 | 295 | $11K | |
| 2022 | 228 | $8K | |
| 2023 | 109 | $3K | |
| 2024incomplete | 14 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 70% | 418 | 412 | $18K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 30% | 178 | 174 | $7K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 12 | 12 | $0.00 |
| 92015 | Determination of refractive state | 0% | 116 | 110 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialHELGESON, SCOTT (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Iowa Odd Fellows & Orphans Home | Mason City, IA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.