Helton, Richard

Helton, Richard was paid $33K by Medicaid between Jun 2018 and Aug 2024, across 16 billing codes. Its largest line is 99490, Ccm add 20min — 34% of everything it billed.

33Billing provider infoHELTON, RICHARD
COALGATE, OK 74538

33aNPI1972545820assigned 06/12/2006

33bProvider typeFamily Medicine Physician

28Total paid$33K

24GClaims6,707

24DCodes billed16

24AFirst – last monthJun 2018 – Aug 2024

Compared with peers

Next to other Family Medicine Physician providers in Oklahoma

Rank by total paid#230 of 351

Median peer was paid$153K

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	510	$3K
2019	1,436	$5K
2020	1,373	$6K
2021	1,191	$6K
2022	955	$6K
2023	947	$5K
2024incomplete	295	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99490	Ccm add 20min	34%	2,898	2,898	$11K
96132		17%	240	240	$5K
99307		14%	1,169	296	$5K
G0179	Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	13%	926	926	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	5.4%	85	70	$2K
96138		4.2%	331	331	$1K
99484		4.0%	346	346	$1K
99457		3.5%	225	219	$1K
99458		1.7%	98	98	$548.31
99454		1.5%	88	83	$488.21
G0181	Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans	<1%	27	27	$250.77
99497		<1%	14	14	$111.23

4 more codes

96127		<1%	212	$83.60
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	18	$77.42
92250		<1%	13	$56.23
99453		<1%	17	$41.26

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.