Dr. Thomas Helton, MD
1034 N Highland Ave, Suite C, Murfreesboro, TN 37130 • +1-510-555-4169
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Murfreesboro Percentiles
NPI #1881624450 • CBSA Regional • Family Practice
Statistical peer benchmarking across TN Family Practice providers positions Dr. Thomas Helton, MD in Murfreesboro at +4.70σ (95.45th city percentile / 98.61th state percentile, 456 Medicare beneficiaries), with clinical focus spanning 57 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 1034 N Highland Ave, Suite C shows Dr. Thomas Helton's primary concentration in Comprehensive Primary Care & Chronic Protocol Management (code 99214: 926x/yr, 95.45th local percentile) alongside Focused Acute & Preventive Primary Care Evaluation (99213: 684x/yr, $32–$47).
For out-of-network patients contacting +1-510-555-4169, Dr. Helton's practice posts a $201.00 GPCI self-pay consult estimate ($201.00 patient-logged median, 4.53/5 composite reality score over 20 submissions).
Clinical background for Dr. Helton (MD, NPI #1881624450) includes accredited doctoral training (2015, 11 yrs in practice) and virtual + in-office availability across TN.
Top 10% Family Practice volume leader in Murfreesboro, TN
32,915 annual services across 456 beneficiaries
Standard deviations from TN Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 926 | 95.45th | $42 – $57 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 684 | 90.45th | $32 – $47 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 265 | 99.45th | $48 – $66 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 198 | 93.45th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 132 | 93.45th | $57 – $79 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (57 HCPCS billing breadth) | 30,710 | 95.45th | $45 – $65 |
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Dr. Thomas Helton, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Helton National Provider Identifier | NPI #1881624450 (MD) | CMS NPPES Registry (37130) |
| Dr. Helton Murfreesboro CMS Volume Rank | 95.45th Pct (32,915 CMS svcs; Z +4.697σ) | CMS Medicare Part B (TN Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $201.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Murfreesboro, TN) |
| Waiting-Room Wait Time & Cash Friendliness | $201.00 avg paid • 22 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.60/5 Listening • 4.60/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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