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 Tennessee for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Tennessee 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. Tennessee (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.

David Helm (NPI 1457551947)

Field	Value
Entity Type	Individual
Organization	David Helm
Address	2863 Highway 45 Byp
City	Jackson
State	TN
ZIP	38305
Taxonomy	Psychiatry Physician
NPI Enumerated	July 23, 2007

Payer Source	Total Paid
Medicare	$74.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	500	$90	$43.2K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	490	$50	$24.4K
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…	50	$150	$7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

David Helm — 1 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	1,272	11,370	120	$80	$16.6K
90833	5	140	80	$40	$5.4K
99205	277	1,300	20	$140	$4.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pathways Of Tennessee, Inc.	TN	Clinic/Center	$0	$30.6M
Jackson Clinic PA	TN	Internal Medicine Physician	$0	$7.9M
Pathways Of Tennessee, Inc.	TN	Psychiatric Hospital	$0	$3.3M
Frances Lawhead	TN	Dermatopathology Physician	$829K	$0
Pamela Wells	TN	Diagnostic Radiology Physician	$827K	$0
Twana Miller	TN	Clinical Social Worker	$52.4K	$603K
William Klein	TN	Diagnostic Radiology Physician	$529.5K	$0
Stephen Hammond	TN	Ophthalmology Physician	$477.5K	$0
Michael Osayamen	TN	Cardiovascular Disease Physician	$424.9K	$0
Elizabeth Hall	TN	MOHS-Micrographic Surgery Physician	$410.3K	$0

David Helm — Billing Profile & Reimbursement Data

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David Helm — 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

Frequently Asked Questions

References