What is Craig Helm's specialty?

Craig Helm (NPI 1588678791) is a Medicare-billing provider whose primary specialty is Ophthalmology in Valencia, CA.

Where does Craig Helm practice?

Craig Helm practices in Valencia, CA, based on the location reported in the CMS Medicare provider datasets for NPI 1588678791.

How much does Medicare pay Craig Helm?

Craig Helm (NPI 1588678791) received approximately $582K in total Medicare Part B payments, serving 942 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

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

Top paying entities

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