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PROVIDER PROFILE · NPI 1801992839

Derek HeltonM.D.

PRACTICEMEDICAL GROUP OF NORTH COUNTY, INC.See all providers at this practice →
Hematology-OncologyVista, CAI
CROSS-REFERENCE

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MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
1,120
Unique beneficiaries
—
Total services
33,710
Distinct HCPCS
27
Medicare payment
$306K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 957 Hematology-Oncology providers in CA — top quintile (cohort median 4,173).
PRESCRIBING · PART D · 2024
Total Rx claims
447
Beneficiaries
—
Total drug cost
$2.7M
Distinct drugs
20
Brand share
37.8%
Top prescribed drugs
Hydroxyurea50 claims
Apalutamide46 claims
Prednisone41 claims
Omeprazole39 claims
Acyclovir37 claims
REFERRAL NETWORK

Where Derek 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). 11 inbound referrers · 0 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
REGENTS OF THE UNIVERSITY OF CALIFORNIA2405,521
Fareeha Siddiqui
Hematology-Oncology · San Diego, CA
882,092
Anjali Bharne
Hematology-Oncology · Encinitas, CA
651,222
Rupa Subramanian
Hematology-Oncology · Vista, CA
41356
Michael Kelner
Pathology · San Diego, CA
25182
Tri-City Petct Llc
Independent Diagnostic Testing Facility (IDTF) · Vista, CA
2452
Unilab Corporation
Clinical Laboratory · West Hills, CA
1565
Sean Pinnell
Diagnostic Radiology · Vista, CA
1433
Scott Shuford
Nurse Practitioner · Rancho Mirage, CA
1355
James Urbanic
Radiation Oncology · Encinitas, CA
12178
Justin Gooding
Diagnostic Radiology · Oceanside, CA
11121
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.
QUALITY · MIPS · 2024
Final MIPS score
90.8
Quality
84.1
Cost
73.9
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.66%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.