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.

Dale Helman (NPI 1407926009)

Field	Value
Entity Type	Individual
Organization	Dale Helman
Address	256-a San Jose Street
City	Salinas
State	CA
ZIP	93901
Taxonomy	Neurology Physician
NPI Enumerated	November 9, 2006

Payer Source	Total Paid
Medicare	$423.8K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95911	In this procedure, the provider performs nine or ten nerve conduction studies, a diagnostic test to evaluate function, especially the electrical conduction ability of the motor and sensory nerves of…	810	$180	$149.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,050	$100	$108.7K
95885	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction studies. The provider performs…	1,790	$50	$96.6K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	160	$180	$27.9K
95910	In this procedure, the provider performs seven or eight nerve conduction studies, a diagnostic test to evaluate the function, especially the electrical conduction ability of the motor and sensory…	140	$150	$21.9K
99213	The 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…	130	$70	$9.1K
99203	The 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…	70	$90	$6.6K
95886	The provider assesses the electrical activity of a muscle in the extremity and related paraspinal areas. At the same session as a separately reportable nerve conduction study. He studies five or more…	40	$90	$3.6K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Dale Helman — 5 of 8 codes 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

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,452	37,970	120	$90	$23.2K
99213	13,063	34,660	80	$70	$13.2K
95886	373	550	70	$80	$12.5K
95911	2	250	30	$180	$10.2K
99205	225	8,360	30	$170	$7.2K
95910	5	210	20	$140	$4.8K
99203	2,917	12,740	30	$80	$4.6K
95885	1	130	40	$50	$3K

Nearby Providers

Other providers in the same ZIP code as Dale Helman, 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

Dale Helman — Billing Profile & Reimbursement Data

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Dale Helman — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References