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PROVIDER PROFILE · NPI 1174786115

William HeltonMD

OtolaryngologyPrestonsburg, KYI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PRESCRIBING · PART D · 2024
Total Rx claims
1,026
Beneficiaries
—
Total drug cost
$71K
Distinct drugs
25
Brand share
15.4%
Top prescribed drugs
Fluticasone Propionate176 claims
Azelastine Hcl139 claims
Levocetirizine Dihydrochloride73 claims
Methylprednisolone69 claims
Ciprofloxacin Hcl/Dexameth61 claims
QUALITY · MIPS · 2024
Final MIPS score
92.7
Quality
81.5
Cost
81.8
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.74%
Group
FACILITY AFFILIATIONS

Hospital & Facility Affiliations (4)

CCN 180005
Hospital
CCN 180029
Hospital
CCN 180044
Hospital
CCN 180128
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
660
Unique beneficiaries
—
Total services
1,011
Distinct HCPCS
13
Medicare payment
$47K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 116 Otolaryngology providers in KY — top quintile (cohort median 890).
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$201
Payment records
8
By payment type
Food and Beverage$201
REFERRAL NETWORK

Where William 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). 20 inbound referrers · 42 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
HIGHLANDS HOSPITAL CORP173688
Philip Zambos
Diagnostic Radiology · Prestonsburg, KY
74208
Terry Hall
Diagnostic Radiology · Prestonsburg, KY
71199
HOSPITAL OF LOUISA, INC.4394
Ghassan Dalati
Internal Medicine · Enterprise, AL
3380
PIKEVILLE MEDICAL CENTER INC32107
Labone Of Ohio Inc
Clinical Laboratory · Cincinnati, OH
28117
Jason Clark
Pathology · Lexington, KY
2151
Leigh Ann Beard
Dermatology · Lexington, KY
2040
Sameer Batoo
Hematology-Oncology · Eau Claire, WI
20195
P & C Labs, Llc
Clinical Laboratory · Lexington, KY
1846
Jack Kendrick
Internal Medicine · Prestonsburg, KY
1842
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
HIGHLANDS HOSPITAL CORP2211,028
Mark Veronneau
Otolaryngology · Prestonsburg, KY
61220
Terry Hall
Diagnostic Radiology · Prestonsburg, KY
53158
Philip Zambos
Diagnostic Radiology · Prestonsburg, KY
51171
Jason Clark
Pathology · Lexington, KY
49144
Laboratory Corporation Of America Holdings
Clinical Laboratory · Dublin, OH
44136
Ghassan Dalati
Internal Medicine · Enterprise, AL
40160
PIKEVILLE MEDICAL CENTER INC38124
HOSPITAL OF LOUISA, INC.3565
PAINTSVILLE HOSPITAL COMPANY, LLC2886
ASHLAND HOSPITAL CORPORATION2471
Labone Of Ohio Inc
Clinical Laboratory · Cincinnati, OH
24114
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.