Dr. Derek Helton, MD
910 Sycamore Ave, Suite 270, Vista, CA 92081 • +1-567-555-5317
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Vista Percentiles
NPI #1801992839 • CBSA Regional • Hematology-Oncology
Operating out of Vista, CA (910 Sycamore Ave, Suite 270), Hematology-Oncology clinician Dr. Derek Helton, MD (accredited MD/DO training, 2017) maintains a upper-quartile active clinical volume (66.67th Vista percentile) (75.68th CA percentile; Z-score +0.29σ across 87,336 documented services) with sub-specialty concentration in 107 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Derek Helton (92081) place 99214 at the top of the practice ledger (1309 yearly units, 66.67th metro rank), rounded out by 99213 and 93000.
Self-pay new patient consultations with Dr. Helton (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with hybrid in-clinic and telehealth video consults, 19-minute average reception wait, and a 4.82/5 modern protocol openness score across 7 patient logs.
From 910 Sycamore Ave, Suite 270 in Vista (+1-567-555-5317), Dr. Helton, MD (9-year clinical track record) delivers 107 Active CMS HCPCS Codes care.
Compared against Vista, CA Hematology-Oncology peers
87,336 annual services across 446 beneficiaries
Standard deviations from CA Hematology-Oncology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 1,309 | 66.67th | $50 – $68 |
| 99213 | Established Preventive & Chronic Care Visit | 756 | 70.67th | $38 – $53 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 378 | 68.67th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 291 | 71.67th | $58 – $80 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 174 | 65.67th | $69 – $94 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (107 HCPCS billing breadth) | 84,428 | 66.67th | $45 – $65 |
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Dr. Derek Helton, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Helton National Provider Identifier | NPI #1801992839 (MD) | CMS NPPES Registry (92081) |
| Dr. Helton Vista CMS Volume Rank | 66.67th Pct (87,336 CMS svcs; Z +0.287σ) | CMS Medicare Part B (CA Hematology-Oncology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Vista, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 19 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.82/5 Listening • 4.82/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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