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PROVIDER PROFILE · Loading…
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PROVIDER PROFILE · NPI 1184026791

Daniel HeltonFNP-BC

PRACTICETENNESSEE CANCER SPECIALISTSSee all providers at this practice →
Nurse PractitionerAlcoa, TNI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 440011
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
87
Unique beneficiaries
—
Total services
99
Distinct HCPCS
5
Medicare payment
$7K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 7,486 Nurse Practitioner providers in TN — below median (cohort median 320).
REFERRAL NETWORK

Where Daniel 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). 14 inbound referrers · 18 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
METRO KNOXVILLE HMA LLC90208
Rural/Metro Of Tennessee, L.P.
Ambulance Service Provider · Knoxville, TN
2262
Benjamin Egner
Diagnostic Radiology · Knoxville, TN
2148
Daniel Baker
Diagnostic Radiology · Knoxville, TN
2140
Benjamin Blanton
Nurse Practitioner · Kodak, TN
20171
EBERENZ, WAYNE1935
James Schauberger
Diagnostic Radiology · Knoxville, TN
1520
Donna Culhane
Diagnostic Radiology · Knoxville, TN
1428
Rhonda Sivley
Internal Medicine · Knoxville, TN
1448
Vandana Kumar
Pathology · Morristown, TN
1319
Shoals Ambulance Llc
Ambulance Service Provider · Knoxville, TN
1233
Marcia Williams-Lyons
Nephrology · Knoxville, TN
1240
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
METRO KNOXVILLE HMA LLC4897
Steedman Sarbah
Gastroenterology · Knoxville, TN
41113
NPI 15382524322289
Benjamin Blanton
Nurse Practitioner · Kodak, TN
18166
Sarah Harvey
Nurse Practitioner · Knoxville, TN
1899
Shoals Ambulance Llc
Ambulance Service Provider · Knoxville, TN
1756
Daniel Baker
Diagnostic Radiology · Knoxville, TN
1631
JOHNSON, JOE1631
Michael Brunson
Pulmonary Disease · Knoxville, TN
16103
SIMMONS, JOHN1326
Rural/Metro Of Tennessee, L.P.
Ambulance Service Provider · Knoxville, TN
1242
EDGE, DIANE1225
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.
PRESCRIBING · PART D · 2024
Total Rx claims
28
Beneficiaries
—
Total drug cost
$480
Distinct drugs
2
Brand share
0.0%
Top prescribed drugs
Levetiracetam16 claims
Oxcarbazepine12 claims
QUALITY · MIPS · 2024
Final MIPS score
77.8
Quality
58.6
Cost
74.0
Improvement activities
40.0
Promoting interop.
92.0
Payment adjustment
0.12%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$16
Payment records
1
By payment type
Food and Beverage$16