Medicare Enrolled

Dr. Helmuth Billy, M.D.

Optician · Ventura, CA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
3200 TELEGRAPH RD, Ventura, CA 93003
8056769100
In practice since 2007 (19 years)
NPI: 1447317664 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Billy from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Billy? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Billy

Dr. Helmuth Billy is an optician specialist in Ventura, CA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Billy performed 752 Medicare services across 521 unique beneficiaries.

Between the years covered by Open Payments, Dr. Billy received a total of $385,968 from 37 pharmaceutical and/or device companies across 620 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in optician. The majority of payments are for speaking programs and promotional activities, reflecting participation in industry-sponsored events. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Billy is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ 752 Medicare services $385,968 industry payments

Medicare Practice Summary

Medicare Utilization ↗
752
Medicare services
Bottom 40% in CA for optician
521
Unique beneficiaries
$138
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~40 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
178 $61 $110
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
105 $87 $165
Ultrasound guidance for needle placement
Use of ultrasound imaging to guide the precise placement of a needle during a medical procedure.
78 $24 $525
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
72 $131 $300
Office visit for established patient
An office visit for an existing patient that may not require the healthcare professional to be present.
58 $16 $45
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
49 $138 $225
Ultrasound scan of organ tissue for measuring elasticity
This procedure uses ultrasound technology to assess the stiffness or elasticity of organ tissues. It helps evaluate tissue characteristics without invasive methods.
32 $85 $250
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
32 $55 $125
Endoscopic repair of hiatal hernia
A procedure to repair a hernia at the junction of the esophagus and stomach using an endoscope.
26 $1,015 $4,000
New patient office visit, complex (60-74 min) 25 $165 $305
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
24 $112 $275
Upper endoscopy (EGD)
A diagnostic exam of the esophagus, stomach, and upper small bowel using a flexible endoscope.
22 $83 $1,000
Gallbladder removal with bile duct X-ray
Surgical removal of the gallbladder combined with an X-ray study of the bile ducts performed using an endoscope.
21 $448 $3,200
Partial removal of liver tissue
A surgical procedure to remove a portion of the liver. This may be performed to treat disease or remove damaged tissue.
18 $334 $1,000
Endoscopic procedure on stomach
A procedure performed on the stomach using an endoscope, a flexible tube with a camera.
12 $838 $4,883
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$385,968
Total received (2018-2024)
Avg $55,138/year across 7 years
Top 1% in CA for optician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
37
Companies
620
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$259,706 (67.3%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$113,966 (29.5%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$9,791 (2.5%)
Other
Charitable contributions, space rental, and other categories
$2,505 (0.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$88,427
2023
$105,344
2022
$23,874
2021
$61,357
2020
$64,181
2019
$24,301
2018
$18,486

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Medtronic, Inc.
$30,948
Teleflex LLC
$28,692
INTUITIVE SURGICAL, INC.
$11,589
Suture Ease, Inc.
$9,138
Ambu Inc.
$4,517
W. L. Gore & Associates, Inc.
$1,540
Arthrex, Inc.
$1,402
PolyNovo North America LLC
$297
JAZZ PHARMACEUTICALS INC.
$104
Novo Nordisk Inc
$66
Avadel CNS Pharmaceuticals, LLC
$45
Corcept Therapeutics
$29
Medical Device Business Services, Inc.
$28
CONMED Corporation
$18
Axsome Therapeutics, Inc.
$15
Top 3 companies account for 80.6% of 2024 payments
All-time payments by company (2018-2024) ›
Teleflex LLC
$102,628
Medtronic, Inc.
$87,704
Lexington Medical, Inc.
$67,586
Covidien LP
$37,040
Medical Device Business Services, Inc.
$23,685
Intuitive Surgical, Inc.
$16,706
INTUITIVE SURGICAL, INC.
$11,589
Standard Bariatrics, Inc.
$9,676
Suture Ease, Inc.
$9,138
COVIDIEN LP
$6,654
Ambu Inc.
$4,708
Arthrex, Inc.
$1,977
KARL STORZ Endoscopy-America
$1,779
W. L. Gore & Associates, Inc.
$1,540
KARL STORZ IMAGING, INC.
$500
ReShape Lifesciences Inc.
$460
Transenterix, Inc.
$396
JAZZ PHARMACEUTICALS INC.
$301
PolyNovo North America LLC
$297
Ethicon US, LLC
$284
Novo Nordisk Inc
$195
Boston Scientific Corporation
$153
Jazz Pharmaceuticals Inc.
$146
Teleflex Medical Incorporated
$130
ACELL, INC.
$120
BOSTON SCIENTIFIC CORPORATION
$101
Smith & Nephew, Inc.
$91
Axsome Therapeutics, Inc.
$88
Corcept Therapeutics
$47
Avadel CNS Pharmaceuticals, LLC
$45
Smith+Nephew, Inc.
$44
HARMONY BIOSCIENCES LLC
$39
Hologic Sales and Service, LLC
$38
TELA Bio, Inc.
$27
Medtronic MiniMed, Inc.
$20
CONMED Corporation
$18
Olympus America Inc.
$17
Top 3 companies account for 66.8% of all-time payments
Associated products mentioned in payments ›
45 · AIRSEAL · AUTO SUTURE · Aeon Endostapler · Aeon Endostapler & Echelon Flex Powered Stapler · Arthrex · CCU · CUSTOM CONTRACT CAM VIDEO IMAGING · CoolSeal Generator · DAVINCI XI · DEKNATEL · Da Vinci Surgical System · ECHELON ENDOPATH Stapler · ECHELON FLEX Stapler · ENDO GIA · ENDO GIA ULTRA · ENLARGED · Echelon Flex · Echelon Powered Circular · EleVision · Endo GIA · Endo Peanut · GORE SEAMGUARD Bioabsorbable Staple Line Reinforce · Guardian Connect · H3-LINK · HARMONIC Product Family · HOPKINS · HOPKINS II · IMAGE 1 SPIES HD CCU WITH LINK · IMAGE1 CONNECT · IMAGE1 S X-LINK · KIT · Korlym · LIGASURE · LINX Reflux Management System · LUMRYZ · LigaSure · MANOMETRY · MODULAR · NOVOSORB BTM · Ovitex · PARIETENE · SIGNIA · SILS · SONICISION · STRAVIX · SUNOSI · SURGICEL Family of Absorbable Hemostats · Saxenda · Senhance Surgical Robotics System · Signia · SonicBeat · Sonicision · SpyGlass · Sunosi · TELESCOPE · TITAN SGS STANDARD GASTRIC STAPLER · TRI-STAPLE · Titan SGS · Titan SGS Standard Gastric Stapler · US · VALLEYLAB FT10 · VS3 IRIDIUM - FLUORESCENCE HIGH DEFINITION CAMERA (CAMERA-IR) · WALLFLEX · Wakix · XYWAV · Xyrem · iDrive
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (67%) are for speaking programs and promotional activities, which reflect participation in industry-sponsored educational or marketing events. This is common in optician and does not inherently indicate bias, but patients may wish to be aware. Total industry engagement is in the top 1% for optician in CA.

Looking for an optician specialist in Ventura?
Compare opticians in the Ventura area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Opticians within 10 mi
126
Per 100K population
15.0
County median income
$107,327
Nearest hospital
VENTURA COUNTY MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Billy is a clinical cardiology specialist, with moderate Medicare volume, with speaking/promotional industry engagement in the top 1% of CA peers, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Billy experienced with hospital follow-up visit, moderate complexity?
Based on Medicare claims data, Dr. Billy performed 178 hospital follow-up visit, moderate complexity services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Billy receive payments from pharmaceutical companies?
Yes. Dr. Billy received a total of $385,968 from 37 companies across 620 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Billy's costs compare to other opticians in Ventura?
Dr. Billy's average Medicare payment per service is $138. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Billy) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

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Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →