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

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

Logan Helge (NPI 1558035634)

Field	Value
Entity Type	Individual
Organization	Logan Helge
Address	1240 Aries Dr
City	Lincoln
State	NE
ZIP	68512
Taxonomy	Family Nurse Practitioner
NPI Enumerated	August 3, 2021

Payer Source	Total Paid
Medicare	$996.6K
Medicaid	$0

Key Findings

This provider’s Medicare activity is concentrated almost entirely in high-cost injectable therapies: J3245 (tildrakizumab) accounts for $737K (74.7% of Medicare revenue) and J1306 (inclisiran) accounts for $240.3K (24.4% of Medicare revenue), and the precomputed top three codes together represent 99.5% of this provider’s total Medicare revenue. That code mix indicates the operation is primarily a drug-administration site rather than a general outpatient clinic focused on evaluation-and-management revenue.

The practice reports total Medicare revenue of $996.6K and has no Medicaid billing on file, so it is effectively single-payer in the dataset provided; there is no Medicaid revenue to compare against Medicare. Contracting, utilization management, and reimbursement changes on the Medicare side are therefore the dominant commercial levers shaping this provider’s revenue profile.

In national competitive standing for the top injectable codes, J3245 ranks #40 of 225 providers (83th percentile) and J1306 ranks #41 of 462 providers (91th percentile), which together suggest the provider has solid national volumes for these specific biologic and novel lipid-lowering injections but is not a singular outlier or nationwide market leader. The plain-English labels attached to those codes indicate “typical, unremarkable volume” for both J3245 and J1306, so the provider operates within expected national volume ranges for clinicians administering these drugs.

Primary evaluation-and-management services are a very small portion of billed Medicare activity: 99213 generated $3.7K (0.4% of Medicare revenue) across 83 claims and ranks #212906 of 457151 providers (53th percentile), indicating median-level E/M involvement. Higher-complexity office visits such as 99214 are even less frequent (22 claims, $1.5K, 0.1% of revenue) and rank in the lower national percentiles, which reinforces that in-office visits are ancillary to the injection-focused business model.

Other administration and infusion-related codes appear at low volume but help round out the service profile: 96401 (antineoplastic injection) and 96372 (therapeutic/prophylactic injection) account for small shares of revenue ($2.5K and $1K respectively) and rank lower nationally (96401 at the 26th percentile; 96372 at the 78th percentile). These entries are labeled “typical, unremarkable volume” and suggest occasional use of chemotherapy or other injectable therapies alongside the primary biologic and inclisiran services.

From a revenue-concentration perspective, dependence on two injectable products—J3245 and J1306—drives nearly all Medicare revenue; this concentration means coverage, supply, or price changes affecting either product could materially move overall revenue. Given that the top three codes already account for 99.5% of Medicare revenue, the provider’s financial profile is highly sensitive to utilization trends for a very small set of CPT/HCPCS codes.

The provider’s NPI was enumerated on 2021-08-03 (~5 years ago), indicating a relatively recent entry into Medicare billing. Despite the short tenure, the provider has achieved substantial billing for specialty injectables, which suggests a focused service line or referral-driven injection practice model rather than a broad primary-care volume base.

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J3245	Injection, tildrakizumab, 1 mg	6,700	$110	$737K
J1306	Injection, inclisiran, 1 mg	26,700	$10	$240.3K
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…	80	$40	$3.7K
96401	The provider administers nonhormonal, antineoplastic chemotherapy drugs subcutaneously or intramuscularly to the patient.	60	$50	$2.5K
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…	20	$70	$1.5K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	120	$10	$1K
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	20	$1	$50

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nebraska Distribution

Logan Helge — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J3245	1	10	6,700	$110	$737.7K
J1306	1	10	19,450	$10	$182.4K
99214	2,835	3,210	110	$70	$14.9K
96401	29	30	120	$50	$11K
99213	1,648	3,220	90	$50	$7.9K
96372	138	590	50	$10	$860
81003	408	680	30	$1	$140

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oneworld Community Health Centers, Inc.	NE	Federally Qualified Health Center (FQHC)	$0	$45.1M
Metro Infectious Disease Consultants, LLC	IL	Infectious Disease Physician	$0	$44.3M
Alegent Creighton Clinic	NE	Family Medicine Physician	$0	$43.2M
Alegent Creighton Clinic	IA	Family Medicine Physician	$0	$9.6M
Samer Renno	NE	Hematology & Oncology Physician	$3.2M	$0
Natalia Surowaniec	IL	Family Nurse Practitioner	$2.1M	$0
Martha Pawlukowsky	IL	Family Nurse Practitioner	$2M	$1.3K
Inaganti Shah	NE	Hematology & Oncology Physician	$2M	$0
Margaret Denham	IN	Nurse Practitioner	$1.7M	$0
Marie Rodriguez	IL	Gerontology Nurse Practitioner	$1.7M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Community Supports Network Inc	NE	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$51.6M
Capital Dental, LLC	NE	Dentist	$0	$4.5M
Laboratory Corporation Of America Holdings	NE	Clinical Medical Laboratory	$128.8K	$2.9M
Schmidt Speech Language Pathology Services LLC	NE	Speech-Language Pathologist	$0	$1.1M
Daring Minds Therapy LLC	NE	Mental Health Counselor	$0	$1.1M
Ahp-mhr Home Care, LLP	NE	Oxygen Equipment & Supplies (DME)	$0	$1M
Geoffrey Basler	NE	Dermatology Physician	$711K	$0
Geoffrey C. Basler, M.d. P.C.	NE	Dermatology Physician	$0	$449.6K
Horak Chiropractic & Acupuncture LLC	NE	Chiropractor	$0	$325.5K
Rex Largen	NE	Dermatology Physician	$288.5K	$0

Logan Helge — Billing Profile & Reimbursement Data

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Logan Helge — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References