Physician
Craig Helm M D a Professional Corporation
Craig Helm M D a Professional Corporation was paid $53K by Medicaid between Mar 2018 and Oct 2024, across 12 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 75% of everything it billed.
33Billing provider infoCRAIG HELM M D A PROFESSIONAL CORPORATION
VALENCIA, CA 91355
VALENCIA, CA 91355
33aNPI1982759734assigned 01/24/2007
33bProvider typeOphthalmology Physician
28Total paid$53K
24GClaims3,180
24DCodes billed12
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#339 of 759
Median peer was paid$35K
This provider vs. median1.5×
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 | 160 | $4K | |
| 2019 | 344 | $14K | |
| 2020 | 224 | $7K | |
| 2021 | 406 | $10K | |
| 2022 | 366 | $9K | |
| 2023 | 632 | $8K | |
| 2024incomplete | 1,048 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 75% | 1,321 | 1,211 | $40K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 230 | 226 | $8K |
| 92025 | 7.1% | 1,139 | 1,116 | $4K | |
| 68761 | 1.0% | 15 | 15 | $525.56 | |
| 92133 | <1% | 53 | 51 | $318.99 | |
| 92015 | Determination of refractive state | <1% | 81 | 81 | $173.66 |
| 83861 | <1% | 185 | 92 | $123.72 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 13 | 12 | $89.78 |
| 92002 | <1% | 13 | 13 | $73.56 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 31 | 30 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 85 | 70 | $0.00 |
| 2027F | 0% | 14 | 14 | $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 officialHELM, CRAIG (PRESIDENT)