Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1881624450assigned 07/03/2006
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

$0$250$500$7502018201920202021202220232024
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
2018141$4K
201912$0.00
2020225$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.