Medicare Facts for Dr. Derek A. Helton, MD


National Provider Identifier [NPI]: 1801992839
Last Name Of The Provider HELTON
First Name Of The Provider DEREK
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 910 SYCAMORE AVE
Street Address 2 Of The Provider SUITE 270
City Of The Provider VISTA
Zip Code Of The Provider 920817832
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Hematology/Oncology
Medicare Participation Indicator Y
Number Of HCPCS 77
Number Of Services 70390
Number Of Medicare Beneficiaries 325
Total Submitted Charge Amount 2999927.01
Total Medicare Allowed Amount 1003245.42
Total Medicare Payment Amount 784795.69
Total Medicare Standardized Payment Amount 774581.49
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 50
Number Of Drug Services 66679
Number Of Medicare Beneficiaries With Drug Services 98
Total Drug Submitted ChargeAmount 2628195.01
Total Drug Medicare AllowedAmount 830692.52
Total Drug Medicare PaymentAmount 650364.22
Total Drug Medicare Standardized Payment Amount 650364.22
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 27
Number Of Medical Services 3711
Number Of Medicare Beneficiaries With Medical Services 325
Total Medical Submitted Charge Amount 371732
Total Medical Medicare Allowed Amount 172552.9
Total Medical Medicare Payment Amount 134431.47
Total Medical Medicare Standardized Payment Amount 124217.27
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 30
Number Of Beneficiaries Age 65 to 74 131
Number Of Beneficiaries Age 75 to 84 103
Number Of Beneficiaries Age Greater 84 61
Number Of Female Beneficiaries 194
Number Of Male Beneficiaries 131
Number Of Non Hispanic White Beneficiaries 263
Number Of Black or African American Beneficiaries 12
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 30
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 270
Number Of Beneficiaries With Medicare Medicaid Entitlement 55
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 6
Percent Of With Cancer 38
Percent Of With Heart Failure 21
Percent Of With Chronic Kidney Disease 41
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 18
Percent Of With Diabetes 32
Percent Of With Hyperlipidemia 44
Percent Of With Hypertension 61
Percent Of With Ischemic Heart Disease 39
Percent Of With Osteoporosis 16
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 2.1732

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