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NPI 1518064062 · Champaign, IL · Urology Physician
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Eric Helfer is a urology physician provider located in Champaign, Illinois. This profile covers 23 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Eric Helfer |
| Address | 3101 Fields South Dr |
| City | Champaign |
| State | IL |
| ZIP | 61822 |
| Taxonomy | Urology Physician |
| NPI Enumerated | September 19, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $143.8K |
| Medicaid | $240 |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
23 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 52000 | In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a… | 150 | $170 | $26K |
| 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… | 210 | $90 | $18.7K |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 130 | $130 | $17.4K |
| 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… | 220 | $60 | $13.6K |
| 99204 | The provider sees a new 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 provider… | 110 | $120 | $13.1K |
| 52356 | The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into… | 30 | $340 | $9.1K |
| 52601 | During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological… | 10 | $580 | $7.5K |
| 55700 | Code deleted December 31, 2025. | 40 | $170 | $7.1K |
| 76872 | The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues. | 70 | $100 | $7.1K |
| 52310 | The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra… | 30 | $240 | $6.3K |
Showing 1–10 of 23
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
23 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J9217 | 84 | 160 | 140 | $130 | $21.1K |
| 99214 | 5,993 | 18,540 | 110 | $80 | $17.1K |
| 52000 | 49 | 310 | 80 | $160 | $15.8K |
| 52601 | 24 | 40 | 20 | $750 | $12K |
| 87086 | 63 | 110 | 40 | $10 | $11.9K |
| 52356 | 24 | 140 | 20 | $500 | $10.9K |
| 52351 | 4 | 10 | 20 | $380 | $9K |
| 99213 | 3,282 | 17,390 | 70 | $60 | $8.8K |
| 85025 | 534 | 850 | 90 | $10 | $6.6K |
| 55700 | 37 | 180 | 20 | $200 | $6.5K |
Showing 1–10 of 23
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 10 | $20 | $230 |
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 13,582 | 14,190 | 280 | $20 | $38.9K |
Other providers in the same ZIP code as Eric Helfer, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Irene Wong | IL | Dentist | $0 | $7.1M |
| The Carle Foundation Hospital | IL | Home Health Agency | $0 | $6.4M |
| Champaign Surgicenter, LLC | IL | Ambulatory Surgical Clinic/Center | $1.3M | $0 |
| Craig Neitzel | IL | Dermatology Physician | $204.8K | $543.9K |
| Sami Zabaneh | IL | Internal Medicine Physician | $457.1K | $53.1K |
| Ashok Jagasia | IL | Otolaryngology Physician | $109.1K | $307.5K |
| Yasser Haider | IL | Endocrinology, Diabetes & Metabolism Physician | $371.9K | $43.3K |
| Ryan Porter | IL | Otolaryngology Physician | $22.1K | $377.9K |
| Brian Ogan | IL | Pain Medicine (Anesthesiology) Physician | $223.2K | $42.4K |
| Janice Jones | IL | Medical Physician Assistant | $243.7K | $1.9K |
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