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PROVIDER PROFILE · NPI 1063404481

Harold HeltonM.D.

NephrologySomerset, KYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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QUALITY · MIPS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
973
Beneficiaries
—
Total drug cost
$433K
Distinct drugs
22
Brand share
22.6%
Top prescribed drugs
Calcium Acetate139 claims
Losartan Potassium97 claims
Spironolactone90 claims
Furosemide78 claims
Dapagliflozin Propanediol76 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
490
Unique beneficiaries
—
Total services
983
Distinct HCPCS
8
Medicare payment
$130K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 122 Nephrology providers in KY — below median (cohort median 1,260).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 182516
Dialysis facility
CCN 182618
Dialysis facility
CCN 182634
Dialysis facility
CCN 180132
Hospital
CCN 181330
Hospital
REFERRAL NETWORK

Where Harold Helton's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 48 inbound referrers · 96 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Steven Eberly
Diagnostic Radiology · Somerset, KY
87313
BIO-MEDICAL APPLICATIONS OF KENTUCKY, INC.85765
NPI 122512233681438
William Baker
Diagnostic Radiology · Somerset, KY
71264
LAKE CUMBERLAND REGIONAL HOSPITAL LLC66276
Colby Atkins
General Surgery · Lexington, KY
50294
SAINT JOSEPH HEALTH SYSTEM, INC44163
BIO-MEDICAL APPLICATIONS OF KENTUCKY, INC.43424
Robert Cameron
Interventional Cardiology · Somerset, KY
42233
Michael Mckinney
Cardiology · Somerset, KY
37145
Spectra East, Inc.
Clinical Laboratory · Rockleigh, NJ
37135
RUSSELL COUNTY HOSPITAL33154
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
LAKE CUMBERLAND REGIONAL HOSPITAL LLC2031,033
Robert Morgan
Diagnostic Radiology · Gainesville, GA
107437
Paul Wooldridge
Diagnostic Radiology · Knoxville, TN
106388
Steven Eberly
Diagnostic Radiology · Somerset, KY
100366
BIO-MEDICAL APPLICATIONS OF KENTUCKY, INC.961,638
NPI 122512233694396
William Baker
Diagnostic Radiology · Somerset, KY
85280
Laboratory Corporation Of America Holdings
Clinical Laboratory · Dublin, OH
79192
LAKE CUMBERLAND REGIONAL HOSPITAL LLC72264
City Of Somerset
Ambulance Service Provider · Somerset, KY
67421
Ashwini Anand
Cardiology · London, KY
55213
Colby Atkins
General Surgery · Lexington, KY
51340
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.