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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCraig Helm
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    Craig Helm — Billing Profile & Reimbursement Data

    NPI 1588678791 · Valencia, CA · Ophthalmology Physician

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    Craig Helm is a ophthalmology physician provider located in Valencia, California. This profile covers 24 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
    OrganizationCraig Helm
    Address27420 Tourney Road
    CityValencia
    StateCA
    ZIP91355
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 27, 2006

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

    Payer SourceTotal Paid
    Medicare$586.2K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…400$460$180.1K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…1,240$70$91.6K
    68761The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.220$190$41.1K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…380$100$38.1K
    92025The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report.1,210$30$37.5K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.120$280$33.2K
    83861The lab analyst performs microfluidic analysis to test the tear osmolarity of the patient. This is usually done in patients with symptoms of dry eye.1,440$20$31.7K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…30$650$20.3K
    65820The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.30$740$19.3K
    66986The provider removes a previously placed intraocular lens and places a new one.20$800$12.7K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669841341,25090$690$122.8K
    658204911020$1,150$42.5K
    6698221451030$800$32K
    1582317619030$640$30.9K
    920147022,890110$100$28.7K
    92012721,620150$70$23.6K
    6876110048070$100$21.3K
    6682112695040$270$18.4K
    6698692020$760$17.5K
    8386115110280$20$16K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David BoyerCAOphthalmology Physician$5.6M$3.4K
    Khaled TawansyCAOphthalmology Physician$2.8M$2.4M
    Homayoun TabandehCAOphthalmology Physician$5.1M$6.8K
    Victor GabrielianCANuclear Cardiology Physician$5M$0
    David KimCAOphthalmology Physician$3.5M$8.8K
    Saman FakheriCAInternal Medicine Physician$3.2M$0
    Rizwan BhattiCAOphthalmology Physician$2.9M$4.7K
    Clement ChanCARetina Specialist (Ophthalmology) Physician$2.9M$0
    Navid EzraCADermatology Physician$1.8M$975.2K
    Daniel EsmailiCAOphthalmology Physician$2.7M$2.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Shield California Health Care Center IncCAParenteral & Enteral Nutrition Supplies (DME)$0$523.3M
    Los Angeles County Department Of Mental HealthCAMental Health Clinic/Center (Including Community Mental Health Center)$0$38.9M
    Advanced Bionics, LLC.CADurable Medical Equipment & Medical Supplies$6.9M$25.3M
    Alexander BlackCAHematology & Oncology Physician$1.4M$0
    Joshua HanelinCADiagnostic Radiology Physician$1.2M$0
    Tourney Plaza Surgical CenterCAAmbulatory Surgical Clinic/Center$973.3K$0
    Franco GarciaCAPhysician Assistant$475.2K$0
    Jared NiskaCAOrthopaedic Hand Surgery Physician$371.1K$0
    Samad ZaheeruddinCAInterventional Cardiology Physician$365.8K$0
    Rena CallahanCAInternal Medicine Physician$362.5K$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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    Craig Helm — 2 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California