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    OpenPayerNPI Medicare & MedicaidStephen Helgemo
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    Stephen Helgemo — Billing Profile & Reimbursement Data

    NPI 1235142969 · Port Charlotte, FL · Orthopaedic Hand Surgery Physician

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    Stephen Helgemo is a orthopaedic hand surgery physician provider located in Port Charlotte, Florida. This profile covers 22 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationStephen Helgemo
    Address18344 Murdock Cir
    CityPort Charlotte
    StateFL
    ZIP33948
    TaxonomyOrthopaedic Hand Surgery Physician
    NPI EnumeratedAugust 14, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$441.4K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    26055Trigger finger, or stenosing tenosynovitis, is when a finger remains in a bent position. It is painful to open or close the finger. A swollen tendon or formation of knots or nodules in the tendon may…320$410$130.8K
    29848The provider inserts an endoscope into the wrist joint to divide the transverse carpal ligament and reduce compression on the median nerve in the carpal tunnel that results in pain and numbness.170$380$63.1K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…640$80$48.5K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…470$60$29.3K
    25447The provider performs arthroplasty (joint replacement) of the intercarpal joints (between the small bones in the wrist) or carpometacarpal joints (where the carpal bones of the wrist meet the…30$650$20.8K
    26160In this procedure, the provider excises a lesion, like a cyst or ganglion, from a tendon sheath or joint capsule in the hand or finger.40$480$19.7K
    64718In this procedure, the provider uses an open approach to incise scar tissue or other sources of pressure to relieve tension on the ulnar nerve at the elbow, which an injury or swelling within the…40$480$18.4K
    26040The provider incises the palmar fascia, which is connective tissue under the skin in the palm of the hand. The procedure treats Dupuytren's contracture, a condition which causes the tissues of the…70$240$17.7K
    20550Aponeurosis is an abnormal sheet like extension of the tendon. Injection of a tendon or ligament is the medical therapeutic procedure to reduce the aponeurosis formation.480$40$16.8K
    20605In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may…310$40$12.1K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9921431,68832,760140$90$25K
    29848513030$440$22.2K
    2648085020$590$15.9K
    26055221030$310$15K
    25447129020$570$12.6K
    2686021020$720$12.2K
    992133,27730,01080$60$12K
    64718107020$460$10K
    2616033020$360$7.8K
    9920412,48219,04040$110$7K

    Showing 1–10 of 22

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Murdock Ambulatory Surgery Center LLCFLAmbulatory Surgical Clinic/Center$4.9M$0
    Paul RatcliffFLDiagnostic Radiology Physician$906.6K$0
    Stephen SpencerFLDermatology Physician$842.4K$0
    David FleszarFLDiagnostic Radiology Physician$754K$0
    Lee JamesFLInterventional Pain Medicine Physician$739.1K$0
    Jose RossFLAnatomic Pathology & Clinical Pathology Physician$693.6K$29.2K
    Robert BallFLInterventional Pain Medicine Physician$522.6K$0
    Cathy CrissFLFamily Medicine Physician$475.2K$0
    Dale GreenbergFLOrthopaedic Surgery Physician$458.9K$0
    Louis ValenteFLInterventional Pain Medicine Physician$453.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Florida Distribution
    Stephen Helgemo — 11 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida