Active NPI 1043461932 Individual Practitioner Male Practitioner

Michael Edward Helm , PA-C

Physician Assistant • Somerset, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Michael Helm, PA-C is a certified Physician Assistant practicing in Somerset, KY. With approximately 18 years of clinical experience since graduating from University Of Kentucky College Of Medicine in 2008, Michael Helm delivers high-quality medical care to the local community at 305 LANGDON ST.

Michael Helm maintains professional affiliations with Eventus Wholehealth Midwest Inc, Extended Care Specialists, Inc, Eventus Ecs, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

305 Langdon St
Ste H

Somerset, KY 425032750

Telephone 6064512994

Fax 6064512975

Associated Practice Facility / Clinic

🏢 Marilyn Mason Mcmillen Md Psc Facility NPI 1386605798

Medicare Profile & Education

Medical School

University Of Kentucky College Of Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Somerset, KY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -1.0 yrs vs City Avg

City Avg: 19.0 Yrs

State Avg: 12.7 Yrs

Regional Practice Density

14 Specialists

Practicing in Somerset, KY (1973 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Helm (18 Years) 18 Yrs

Somerset Specialty Average (19.0 Years) 19.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$277.58	$88.34
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	39	30	$142.00	$86.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$440.38	$133.62
99213 Established patient office or other outpatient visit, typically 15 minutes	19	17	$191.64	$72.20
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	15	15	$168.00	$103.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	412	141	$76.15	$64.67
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	159	41	$70.52	$59.45
99231 Follow-up hospital inpatient care per day, typically 15 minutes	107	33	$47.68	$40.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	38	$126.74	$106.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$277.58	$85.54
99316 Nursing facility discharge management, more than 30 minutes	21	21	$122.41	$101.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$178.09	$141.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	721	221	$69.32	$57.87
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	295	71	$66.43	$55.46
99231 Follow-up hospital inpatient care per day, typically 15 minutes	164	80	$37.46	$31.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	100	98	$195.70	$159.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	39	$132.76	$110.10
99316 Nursing facility discharge management, more than 30 minutes	34	34	$98.66	$84.01
99220 Hospital observation care, typically 70 minutes	15	15	$172.50	$145.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	526	157	$69.08	$59.21
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	325	83	$65.84	$56.23
99231 Follow-up hospital inpatient care per day, typically 15 minutes	155	73	$37.17	$31.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	121	117	$192.83	$163.53
99316 Nursing facility discharge management, more than 30 minutes	38	37	$100.38	$86.01
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	13	$98.90	$85.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$131.24	$111.91
99239 Hospital discharge day management, more than 30 minutes	22	22	$102.21	$87.06
99220 Hospital observation care, typically 70 minutes	15	15	$175.61	$149.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	262	74	$66.52	$57.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	228	79	$70.87	$60.53
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	222	103	$101.47	$86.56
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	97	93	$197.04	$168.88
99239 Hospital discharge day management, more than 30 minutes	90	89	$104.85	$88.77
99316 Nursing facility discharge management, more than 30 minutes	33	33	$102.27	$87.34
99217 Hospital observation care on day of discharge	30	29	$70.45	$60.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	15	$38.36	$33.03
99220 Hospital observation care, typically 70 minutes	23	23	$180.44	$154.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$133.78	$114.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	427	184	$103.06	$85.62
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	266	95	$66.40	$55.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	186	62	$70.83	$59.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	147	143	$199.70	$166.78
99239 Hospital discharge day management, more than 30 minutes	135	132	$103.90	$87.88
99217 Hospital observation care on day of discharge	35	35	$70.69	$59.86
99316 Nursing facility discharge management, more than 30 minutes	31	31	$102.51	$86.77
99220 Hospital observation care, typically 70 minutes	28	28	$180.94	$153.09
99226 Subsequent observation care, typically 35 minutes per day	19	11	$102.17	$86.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	415	181	$101.43	$85.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	249	82	$38.69	$32.06
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	248	74	$42.87	$36.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	151	148	$199.15	$165.64
99239 Hospital discharge day management, more than 30 minutes	119	115	$104.78	$87.47
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	92	44	$66.29	$56.03
99217 Hospital observation care on day of discharge	37	35	$70.47	$59.31
99220 Hospital observation care, typically 70 minutes	33	33	$180.23	$148.24
99316 Nursing facility discharge management, more than 30 minutes	24	24	$102.11	$86.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	530	121	$42.82	$35.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	512	196	$100.99	$84.66
99231 Follow-up hospital inpatient care per day, typically 15 minutes	380	124	$38.28	$31.90
99239 Hospital discharge day management, more than 30 minutes	144	141	$103.49	$86.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	86	86	$198.44	$163.46
99316 Nursing facility discharge management, more than 30 minutes	58	56	$101.95	$85.46
99217 Hospital observation care on day of discharge	29	29	$70.11	$58.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$132.76	$111.09

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License KY PA1152

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Extended Care Specialists, Inc

828 Lane Allen Rd, Lexington, KY 405043659

Phone: 2604839081

Eventus Ecs, Inc

306 W Main St, Frankfort, KY 406011840

Phone: 8557432247

Eventus Wholehealth Midwest Inc

828 Lane Allen Rd, Lexington, KY 405043659

Phone: 2604839081

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Dr. Dannette Cook , MD

Internal Medicine

NPI 1144262056

Doctor of Medicine (M.D.)

Dr. Mohamed Younis , MD

Internal Medicine

NPI 1437578317

Doctor of Medicine (M.D.)

Chelsey Shawen , NP

Nurse Practitioner

NPI 1629788781

Nurse Practitioner

Dr. Shazia Iqbal , MD

Family Medicine

NPI 1902845332

Doctor of Medicine (M.D.)

Dr. Robert Blankenship , MD

Internal Medicine

NPI 1962449991

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 19, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location February 19, 2010

Registered at 305 LANGDON ST, STE H, SOMERSET, KY 425032750 (Tel: 6064512994)

📍

Updated Business Mailing Address February 19, 2010

Registered at 305 LANGDON ST, STE H, SOMERSET, KY 425032750 (Tel: 6064512994)

👤

Provider Name / Credentials Updated February 19, 2010

Recorded as MICHAEL HELM, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2010

Physician Assistant (License #PA1152 in KY)

🟢

Initial NPI Registration & Enumeration October 09, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043461932

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 09, 2008

Last Update: February 19, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

305 Langdon St, Ste H

Somerset, KY 425032750

Phone: 6064512994

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.