BENJAMIN HELGEMO, M.D.
NPI 1366424376, individual, Port Charlotte, FL, Pediatrics
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | BENJAMIN HELGEMO, M.D. |
| Type | Individual |
| Status | Active |
| NPI issued | November 16, 2005, last updated July 1, 2009 |
| Practice location | 2040C TAMIAMI TRL, Port Charlotte, FL 33948-2178, 941-629-4464 |
| Specialties | Pediatrics (208000000X, primary, license ME70913 FL) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $1.5M | 47% | $90 | $44 (top 5% from $110) | 91st percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $515K | 16% | $122 | $60 (top 5% from $133) | 93rd percentile | |
| 99392 | Medicaid service code | $274K | 8% | $117 | $78 (top 5% from $124) | 94th percentile | |
| 99391 | Medicaid service code | $204K | 6% | $113 | $76 (top 5% from $126) | 92nd percentile | |
| 99393 | Medicaid service code | $146K | 4% | $107 | $78 (top 5% from $121) | 90th percentile | |
| 90471 | Administration of vaccine | $104K | 3% | $19 | $10 (top 5% from $23) | 84th percentile | |
| 99394 | Medicaid service code | $81K | 2% | $116 | $83 (top 5% from $128) | 90th percentile | |
| 92507 | Treatment of speech, language, voice, communication, and/or hearing processing disorder | $78K | 2% | $1K | $190 (top 5% from $477) | too few months to rank |
In this area
4 providers in Charlotte County, FL carry an indicator in the public record, with $3.5M at stake between them. The most common is part of a provider network, on 2 of them, followed by more hours than a day holds on 2.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | AFFINITY CARE OF CHARLOTTE AND DESOTO LLC Port Charlotte, FL, ranked 2581 | $0 |
|
| 3 | CARETENDERS VISITING SERVICES OF DISTRICT 6, LLC Port Charlotte, FL, ranked 6668 | $0 |
|
| 5 | BELKIS CEPERO Port Charlotte, FL, ranked 10821 | $1.9M | |
| 5 | WEN LIOU Port Charlotte, FL, ranked 10882 | $1.6M |
Recent enforcement in FL
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.