What is Derek Helton's specialty?

Derek Helton (NPI 1801992839) is a Medicare-billing provider whose primary specialty is Hematology-Oncology in Vista, CA.

Where does Derek Helton practice?

Derek Helton practices in Vista, CA, based on the location reported in the CMS Medicare provider datasets for NPI 1801992839.

How much does Medicare pay Derek Helton?

Derek Helton (NPI 1801992839) received approximately $1.4M in total Medicare Part B payments, serving 446 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1801992839

Derek HeltonM.D.

PRACTICEMEDICAL GROUP OF NORTH COUNTY, INC.See all providers at this practice →

Hematology-OncologyVista, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,120

Unique beneficiaries

—

Total services

33,710

Distinct HCPCS

Medicare payment

$306K

Peer benchmark

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

Brand share

37.8%

Top prescribed drugs

Hydroxyurea50 claims

Apalutamide46 claims

Prednisone41 claims

Omeprazole39 claims

Acyclovir37 claims

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.

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

Physician	Patients	Visits
REGENTS OF THE UNIVERSITY OF CALIFORNIA	240	5,521
Fareeha Siddiqui Hematology-Oncology · San Diego, CA	88	2,092
Anjali Bharne Hematology-Oncology · Encinitas, CA	65	1,222
Rupa Subramanian Hematology-Oncology · Vista, CA	41	356
Michael Kelner Pathology · San Diego, CA	25	182
Tri-City Petct Llc Independent Diagnostic Testing Facility (IDTF) · Vista, CA	24	52
Unilab Corporation Clinical Laboratory · West Hills, CA	15	65
Sean Pinnell Diagnostic Radiology · Vista, CA	14	33
Scott Shuford Nurse Practitioner · Rancho Mirage, CA	13	55
James Urbanic Radiation Oncology · Encinitas, CA	12	178
Justin Gooding Diagnostic Radiology · Oceanside, CA	11	121

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