PROVIDER PROFILE · NPI 1588678791

Craig HelmM.D.

PRACTICECRAIG HELM M D A PROFESSIONAL CORPORATIONSee all providers at this practice →

OphthalmologyValencia, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

3,860

Unique beneficiaries

—

Total services

6,330

Distinct HCPCS

Medicare payment

$500K

Peer benchmark

Total Medicare services vs. 2,144 Ophthalmology providers in CA — top quintile (cohort median 1,859).

PRESCRIBING · PART D · 2024

Total Rx claims

3,281

Beneficiaries

—

Total drug cost

$2.6M

Distinct drugs

Brand share

42.4%

Top prescribed drugs

Prednisolone Acetate678 claims

Moxifloxacin Hcl555 claims

Dorzolamide Hcl/Timolol Maleat373 claims

Latanoprost368 claims

Difluprednate219 claims

QUALITY · MIPS · 2024

Final MIPS score

82.1

Quality

96.6

Cost

42.3

Improvement activities

40.0

Promoting interop.

0.0

Payment adjustment

0.30%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$831

Payment records

By payment type

Food and Beverage$806

Honoraria$26

REFERRAL NETWORK

Where Craig Helm'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). 52 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Unilab Corporation Clinical Laboratory · West Hills, CA	160	512
Primex Clinical Laboratories Inc. Clinical Laboratory · Van Nuys, CA	48	113
GADOWSKI, DOUGLAS	46	144
Richard Goldman Diagnostic Radiology · Santa Monica, CA	45	67
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA	40	83
Lakhbinder Dhanda Internal Medicine · Valencia, CA	36	102
Omar Sahagun Diagnostic Radiology · Los Angeles, CA	35	50
Bernard Raskin Dermatology · Valencia, CA	31	94
Harold Quan Cardiology · Newhall, CA	30	81
James Weagley Family Practice · Porter Ranch, CA	30	85
Shane Rhodes Podiatry · Newhall, CA	29	67
CHARNOCK, GEORGE	27	59

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history