Physician
Helton, Thomas
Helton, Thomas was paid $8K by Medicaid between Jan 2018 and Oct 2020, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.
33Billing provider infoHELTON, THOMAS
MURFREESBORO, TN 37130
MURFREESBORO, TN 37130
33aNPI1881624450assigned 07/03/2006
33bProvider typeFamily Medicine Physician
28Total paid$8K
24GClaims378
24DCodes billed3
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#513 of 754
Median peer was paid$34K
This provider vs. median0.2×
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 | 141 | $4K | |
| 2019 | 12 | $0.00 | |
| 2020 | 225 | $3K |
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 | 73% | 235 | 203 | $5K |
| 99306 | Prolong nursin fac eval 15m | 25% | 118 | 112 | $2K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.8% | 25 | 25 | $137.81 |
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.