Active NPI 1821039306 Individual Practitioner Male Practitioner

Dr. Joseph Richard Hellmann , MD

Otolaryngology • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Hellmann, MD is a certified Otolaryngology practicing in Cincinnati, OH. With approximately 39 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 1987, Dr. Hellmann delivers high-quality medical care to the local community at 7691 5 MILE RD.

Dr. Hellmann is affiliated with Christ Hospital Medical Specialists Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, diagnostic exam of voice box using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7691 5 Mile Rd
Suite 214

Cincinnati, OH 452304348

Telephone 5132323277

Fax 5132323444

Associated Practice Facility / Clinic

🏢 Advanced Spine & Pain Management Inc Facility NPI 1790881746

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Cincinnati, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +20.4 yrs vs City Avg

City Avg: 18.6 Yrs

State Avg: 26.0 Yrs

Regional Practice Density

61 Specialists

Practicing in Cincinnati, OH (468 Statewide)

Telehealth Adoption Rate

8.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

47.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hellmann (39 Years) 39 Yrs

Cincinnati Specialty Average (18.6 Years) 18.6 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
99213 Established patient office or other outpatient visit, typically 15 minutes	232	173	$145.00	$85.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	136	$211.00	$120.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$321.00	$157.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$209.00	$105.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	35	$88.00	$53.00
31575 Diagnostic exam of voice box using a flexible endoscope	29	27	$237.00	$118.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	278	207	$145.00	$87.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	136	111	$211.00	$123.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	106	106	$321.00	$161.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	94	94	$209.00	$108.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	33	$88.00	$54.43
31575 Diagnostic exam of voice box using a flexible endoscope	33	28	$237.00	$124.34
42975 Evaluation of sleep-disordered breathing by examination of upper airway using an endoscope	14	14	$224.00	$94.45
64582 Insertion of hypoglossal nerve neurostimulator electrode and generator and breathing sensor electrode	12	12	$1741.00	$853.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	360	273	$145.00	$88.49
95165 Professional service for preparation and provision of 1 or more antigens	215	11	$28.00	$14.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	168	168	$209.00	$109.87
95117 Professional service for multiple injections of allergen	149	12	$20.00	$10.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	98	$211.00	$124.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$321.00	$162.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	27	$88.00	$54.92
31575 Diagnostic exam of voice box using a flexible endoscope	19	19	$237.00	$125.28
42975 Evaluation of sleep-disordered breathing by examination of upper airway using an endoscope	13	13	$224.00	$112.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	594	419	$145.00	$89.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	216	216	$209.00	$110.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	180	159	$211.00	$126.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	156	156	$321.00	$162.52
31575 Diagnostic exam of voice box using a flexible endoscope	29	29	$237.00	$124.70
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$88.00	$54.82
69210 Removal of impacted ear wax	20	19	$94.00	$45.91
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$147.00	$67.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	415	336	$147.13	$73.04
95165 Professional service for preparation and provision of 1 or more antigens	246	11	$29.02	$13.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	157	$203.54	$104.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	164	164	$198.46	$105.52
95117 Professional service for multiple injections of allergen	151	11	$22.48	$10.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	123	123	$307.39	$161.98
31575 Diagnostic exam of voice box using a flexible endoscope	40	39	$295.13	$118.11
69210 Removal of impacted ear wax	38	38	$94.95	$47.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	23	$98.56	$44.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	455	328	$150.00	$71.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	229	229	$190.00	$104.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	124	124	$290.00	$157.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	100	$190.00	$104.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	110	79	$100.00	$43.48
31575 Diagnostic exam of voice box using a flexible endoscope	50	48	$330.00	$112.46
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	19	18	$505.26	$210.46
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$130.00	$74.01
31575 Diagnostic exam of voice box using a flexible endoscope	15	15	$330.00	$66.27
69210 Removal of impacted ear wax	12	12	$100.00	$42.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	469	342	$150.00	$69.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	226	226	$190.00	$103.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	115	115	$290.00	$157.88
95117 Professional service for multiple injections of allergen	112	11	$25.00	$9.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	110	90	$100.00	$41.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	91	$190.00	$103.61
31575 Diagnostic exam of voice box using a flexible endoscope	58	57	$330.00	$107.17
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	16	16	$471.63	$199.23
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$130.00	$71.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	482	349	$150.00	$68.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	248	248	$190.00	$103.43
95165 Professional service for preparation and provision of 1 or more antigens	225	11	$30.00	$12.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	103	103	$290.00	$157.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	88	$190.00	$100.15
95117 Professional service for multiple injections of allergen	94	11	$25.00	$9.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	68	$100.00	$41.47
31575 Diagnostic exam of voice box using a flexible endoscope	56	55	$330.00	$105.30
31575 Diagnostic exam of voice box using a flexible endoscope	13	13	$330.00	$65.99
69433 Incision of eardrum with insertion of eardrum tube under local or topical anesthesia	13	12	$584.62	$216.58

Medical Specialties & State Licenses

CMS Verified: 2020-11-17

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License OH 055687

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0881283 (OH)

Medicaid State Provider ID

201229680 (IN)

Commercial Insurance / Payer ID Anthem

793768 (OH)

Commercial Insurance / Payer ID Aetna

4229116 (OH)

Commercial Insurance / Payer ID Railroad Medicare

P01139508 (OH)

Commercial Insurance / Payer ID Gateway Health

1628296 (OH)

Commercial Insurance / Payer ID Caresource

270577733076 (OH)

Hospital & Practice Group Affiliations

Christ Hospital Medical Specialists Llc

2123 Auburn Ave, Cincinnati, OH 452192906

Phone: 5137217373

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Maria Kersting , AuD

Audiologist

NPI 1396987632

Doctor of Audiology

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 04, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 04, 2015

Registered at 7691 5 MILE RD, SUITE 214, CINCINNATI, OH 452304348 (Tel: 5132323277)

📍

Updated Business Mailing Address August 04, 2015

Registered at 237 WILLIAM HOWARD TAFT, PHYS DIV, 2ND FL, CBO2-3, ATTN: CREDENTIALING, CINCINNATI, OH 452192906 (Tel: 5132638571)

👤

Provider Name / Credentials Updated August 04, 2015

Recorded as JOSEPH HELLMANN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2015

Otolaryngology (License #055687 in OH)

🟢

Initial NPI Registration & Enumeration June 08, 2006

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: 1821039306

Entity Type:

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

Enumeration Date: June 08, 2006

Last Update: November 17, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

237 William Howard Taft, Phys Div, 2nd Fl, Cbo2-3, Attn: Credentialing

Cincinnati, OH 452192906

Phone: 5132638571

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

⚠️ Medical Disclaimer

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