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Dr. Harold Helton JR.

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NPI Number Detailed Information

Provider Information:

Name: Dr. Harold Helton JR.
Gender: M
Provider License Number If Given: 33190

NPI Information:

NPI: 1063404481
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/22/2005

Last Update Date: 6/2/2022

Reputation Report:

Provider Business Mailing Address:

Address: 104 HARDIN LN STE A
Somerset, KY 42503
Phone Number: 6066782063
Fax Number: 6066782218

Provider Business Practice Location Address:

Address: 104 HARDIN LN STE A
Somerset, KY 42503
Phone Number: 6066782063
Fax Number: 6066782218

Provider Taxonomy:

Primary: 207RN0300X
Secondary (if any):
State: KY

Top Doctors in KY

 

About Dr. Harold Helton JR.

Dr. Harold Helton JR.(DR. HAROLD HELTON JR.) is An Internal Medicine Physician in Somerset, KY. The NPI Number for Dr. Harold Helton JR. is 1063404481.
The current location address for Dr. Harold Helton JR. is 104 HARDIN LN STE A Somerset, KY 42503 and the contact number is 6066782063 and fax number is 6066782218. The mailing address for Dr. Harold Helton JR. is 104 HARDIN LN STE A Somerset, KY 42503- 6066782063 (mailing address contact number - 6066782063).
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Harold Helton JR.?


Answer: The NPI Number for Dr. Harold Helton JR. is 1063404481

Where is Dr. Harold Helton JR. located?


Answer: Dr. Harold Helton JR. is located at 104 HARDIN LN STE A Somerset, KY 42503.

What is the specialty for Dr. Harold Helton JR.?


Answer: The Specialty of Dr. Harold Helton JR. is An Internal Medicine Physician.

Are there any online reviews for Dr. Harold Helton JR.?


Answer: Yes! Check It Now.

Are there any other health care providers in Somerset, KY?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Harold Helton JR.

Number of HCPCS 15
Number of Medicare Beneficiaries 351
Number of Services 1481
Total Submitted Charge Amount 708165
Total Medicare Allowed Amount 382627.55
Total Medicare Payment Amount 291977.44
Total Medicare Standardized Payment Amount 303669.64
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 15
Number of Medicare Beneficiaries With Medical 351
Number of Medical Services 1481
Total Medical Submitted Charge Amount 708165
Total Medical Medicare Allowed Amount 382627.55
Total Medical Medicare Payment Amount 291977.44
Total Medical Medicare Standardized Payment Amount 303669.64
Average Age of Beneficiaries 68
Number of Beneficiaries Age Less 65 106
Number of Beneficiaries Age 65 to 74 125
Number of Beneficiaries Age 75 to 84 100
Number of Beneficiaries Age Greater 84 20
Number of Female Beneficiaries 170
Number of Male Beneficiaries 181
Number of Non-Hispanic White Beneficiaries 339
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries 0
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 162
Number of Beneficiaries With Medicare Only Entitlement 189
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.17
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.15
Percent (%) of Beneficiaries Identified With Asthma 0.06
Percent (%) of Beneficiaries Identified With Cancer 0.07
Percent (%) of Beneficiaries Identified With Heart Failure 0.43
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.75
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.25
Percent (%) of Beneficiaries Identified With Depression 0.25
Percent (%) of Beneficiaries Identified With Diabetes 0.6
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.69
Percent (%) of Beneficiaries Identified With Hypertension 0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.59
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.44
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.06
Average HCC Risk Score of Beneficiaries 4.1019

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Nephrology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 1835
Number of Standardized 30-Day Fills 2895.4666667
Aggregate Cost Paid for All Claims 551675.38
Number of Day's Supply for All Claims 84837
Number of Medicare Beneficiaries 263
Number of Claims, Including Refills, for Beneficiaries Age 65+ 1067
Including Refills, for Beneficiaries Age 65+ 1741.5333333
Beneficiaries Age 65+ 225934.22
Number of Day's Supply for All Claims for Beneficaries Age 65+ 51184
Number of Medicare Beneficiaries Age 65+ 177
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 482
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 1353
Aggregate Cost Paid for Generic Drugs 76663.29
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 721
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 150389.4
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1114
Aggregate Cost Paid for Claims Filled by 401285.98
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 1123
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 495087.72
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 712
by Low-Income Subsidy 56587.66
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 53
Aggregate Cost Paid for Antibiotic Drugs 639.16
Antibiotic Claims 32
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 67.429657795
Number of Beneficiaries Age Less Than 65 86
Number of Beneficiaries Age 65 to 74 103
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 126
Number of Male Beneficiaries 137
Number of Non-Hispanic White 250
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 143
Average Hierarchical Condition Category 4.9983913588

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