Physician

HAROLD HELTON, M.D.

Nephrology

SOMERSET, KY, 42503
NPI: 1063404481

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Hospital Affiliations

Search procedure prices at these hospitals only

Common Procedures for Nephrology

Dialysis ManagementKidney BiopsyAV Fistula EvaluationChronic Kidney Disease ManagementElectrolyte ManagementTransplant EvaluationHypertension ManagementPeritoneal Dialysis Catheter Placement

Based on specialty. Actual services may vary — contact the provider's office to confirm.

MIPS Quality Score

PY 2023
65.8/100Average
Quality
49.7
Improvement Activities
40.0

MIPS (Merit-based Incentive Payment System) scores measure quality, cost, and improvement activities. Higher is better. Learn more at qpp.cms.gov

Procedure Pricing (Medicare Data)

Based on CMS Medicare Provider Utilization data for 2023. These represent what this physician charged Medicare, not necessarily what you would pay. Compare with other physicians

ProcedureAvg ChargeMedicare AllowedMedicare PaidServices
90960
Dialysis services, 4 or more physician visits per month (20 years or older)
$675$332$254327
90961
Dialysis services, 2-3 physician visits per month (20 years or older)
$505$275$21913
99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
$315$164$127104
99204
New patient office or other outpatient visit, 45-59 minutes
$275$152$11442
99214
Established patient office or other outpatient visit, 30-39 minutes
$195$117$81279
99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
$182$113$89280
90935
Hemodialysis procedure with physician evaluation
$150$68$54150
99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
$128$75$60121

Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.