Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Helia Ludema (NPI 1205543568)

Field	Value
Entity Type	Individual
Organization	Helia Ludema
Address	1260 S Main St Ste 201
City	Salinas
State	CA
ZIP	93901
Taxonomy	Surgical Physician Assistant
NPI Enumerated	November 4, 2022

Payer Source	Total Paid
Medicare	$2.1K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
19318	Breast reduction is the removal of excess breast tissue which results from top scarring, calcification, or architectural distortion.	10	$160	$2.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Helia Ludema — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
19318	8	10	10	$1,050	$15.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Helia Ludema, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeremy Silk	CA	Plastic Surgery Physician	$134.4K	$0
Travis Holcombe	CA	Plastic and Reconstructive Surgery Physician	$44.7K	$0
Stephanie Murphy	CA	Surgical Physician Assistant	$12.3K	$0
Jenivi Lau	CA	Physician Assistant	$3.5K	$0

Nearby Providers

Other providers in the same ZIP code as Helia Ludema, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Salinas Valley Memorial Healthcare System	CA	General Acute Care Hospital	$0	$119M
County Of Monterey Behavioral Health	CA	Clinical Child & Adolescent Psychologist	$0	$41.1M
Svmhs Clinics	CA	Multi-Specialty Clinic/Center	$0	$34.2M
Central Coast Pediatric Dental Group	CA	Pediatric Dentistry	$0	$26.4M
American Medical Response West	CA	Ambulance	$4.8M	$9.8M
Vantage Surgery Center, L P	CA	Ambulatory Surgical Clinic/Center	$2.8M	$645K
Monterey Peninsula Surgery Center, LLC	CA	Ambulatory Surgical Clinic/Center	$924.4K	$2.1M
David Greene	CA	Radiation Oncology Physician	$2.3M	$119.1K
Kevin Chen	CA	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Advanced Medical Surgery Center A Medical Corporation	CA	Ambulatory Surgical Clinic/Center	$1.6M	$39.7K

Helia Ludema — Billing Profile & Reimbursement Data

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Helia Ludema — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References