Medicare Enrolled

Melissa Helton, NP-C

Nurse Practitioner - Family · Cincinnati, OH
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
3301 MERCY HEALTH BLVD STE 525, Cincinnati, OH 45211
5138417710
Registered in NPPES since 2017
NPI: 1427561448 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 Helton 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 Helton? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Helton

Melissa Helton is a nurse practitioner - family in Cincinnati, OH, with 8 years of NPI registration. Based on federal Medicare data, Helton performed 1,274 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Helton received a total of $8,329 from 44 pharmaceutical and/or device companies across 380 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Helton 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.

✓ 8 years of NPI registration ▲ Top 5% volume in OH $8,329 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
1,274
Medicare services
Top 5% in OH for nurse practitioner - family
Not available
Unique patients (not deduplicated)
$39
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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
Urinalysis, manual
A manual laboratory examination of a urine sample to check for various substances and cells.
287 $3 $24
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.
287 $74 $238
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.
101 $48 $182
Bladder ultrasound after voiding
An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder.
81 $8 $94
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
64 $87 $318
Urine culture, bacterial colony count
A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections.
59 $8 $43
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.
57 $53 $149
Hospital follow-up visit, low complexity
Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service.
54 $33 $112
Urine culture, bacterial identification
A laboratory test that grows and identifies bacteria from a urine sample to detect infections.
45 $8 $39
Chronic care management, first 20 min/month
This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions.
41 $40 $206
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
35 $70 $284
Bacterial culture, aerobic
A laboratory test that grows and identifies bacteria capable of surviving in oxygen. The results help determine the presence of specific aerobic microorganisms.
28 $8 $105
Antibiotic sensitivity test
A laboratory test that determines which antibiotics, antifungals, or antivirals are effective against a specific microorganism using microdilution or agar dilution methods.
28 $8 $105
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.
27 $98 $381
Initial hospital admission, low complexity
Initial hospital inpatient or observation care for a new patient involving straightforward or low-level medical decision making, with at least 40 minutes total time on the date of the encounter.
23 $56 $202
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
19 $8 $32
PSA test (prostate cancer screening) 14 $18 $71
Complex urodynamic pressure flow study
A test that measures the pressure of urine flow in the bladder during voiding to evaluate how well the bladder and urethra are functioning.
12 $118 $702
Electronic assessment of bladder emptying
A test that uses electronic monitoring to evaluate how well the bladder empties urine.
12 $5 $247
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. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$8,329
Total received (2021-2024)
Avg $2,082/year across 4 years
Top 2% in OH for nurse practitioner - family
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
44
Companies
380
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,160
2023
$2,191
2022
$1,891
2021
$2,086

Payments by company (2024)

Boston Scientific Corporation
$773
ABBVIE INC.
$459
Endo USA, Inc.
$163
PROCEPT BioRobotics Corporation
$145
COLOPLAST CORP
$83
Sumitomo Pharma America, Inc.
$68
UROGEN PHARMA, INC.
$68
Janssen Biotech, Inc.
$53
Antares Pharma, Inc.
$51
Tolmar, Inc.
$48
IMMUNITYBIO, INC.
$39
AngioDynamics, Inc.
$35
Axonics, Inc.
$34
ACCORD HEALTHCARE, INC.
$34
Merck Sharp & Dohme LLC
$26
Dendreon Pharmaceuticals LLC
$24
Bayer Healthcare Pharmaceuticals Inc.
$21
SUN PHARMACEUTICAL INDUSTRIES INC.
$21
PFIZER INC.
$16
Top 3 companies account for 64.6% of 2024 payments
All-time payments by company (2021-2024) ›
Boston Scientific Corporation
$917
Astellas Pharma US Inc
$716
Janssen Biotech, Inc.
$607
ABBVIE INC.
$567
Teleflex LLC
$396
Coloplast Corp
$360
Bayer HealthCare Pharmaceuticals Inc.
$344
Axonics, Inc.
$333
UroGen Pharma, Inc.
$293
Medtronic, Inc.
$268
Endo Pharmaceuticals Inc.
$248
COLOPLAST CORP
$231
Merck Sharp & Dohme LLC
$227
Clarus Therapeutics Inc.
$213
PROCEPT BioRobotics Corporation
$190
ConvaTec Inc.
$165
Antares Pharma, Inc.
$164
Endo USA, Inc.
$163
Sumitomo Pharma America, Inc.
$163
UROGEN PHARMA, INC.
$131
Sun Pharmaceutical Industries Inc.
$128
UROVANT SCIENCES INC
$126
Bayer Healthcare Pharmaceuticals Inc.
$124
Myovant Sciences Inc.
$120
ACCORD HEALTHCARE, INC.
$117
Blue Earth Diagnostics Limited
$107
Tolmar, Inc.
$105
AstraZeneca Pharmaceuticals LP
$100
PFIZER INC.
$97
Dendreon Pharmaceuticals LLC
$92
Hollister Incorporated
$68
Allergan, Inc.
$62
Progenics Pharmaceuticals, Inc.
$57
TOLMAR Pharmaceuticals, Inc.
$55
IMMUNITYBIO, INC.
$39
SUN PHARMACEUTICAL INDUSTRIES INC.
$38
DENTSPLY IH Inc.
$37
AngioDynamics, Inc.
$35
Acerus Pharmaceuticals Corporation
$31
Baxter Healthcare
$24
DENTSPLY IH AB
$22
Smith+Nephew, Inc.
$19
GENZYME CORPORATION
$16
Mission Pharmacal Company
$12
Top 3 companies account for 26.9% of all-time payments
Associated products mentioned in payments ›
AMS 700 · AMS 700 CXR RTE Kit · ANKTIVA · AQUABEAM ROBOTIC SYSTEM · AQUABEAM SYSTEM · AVEED · Axonics · Axumin · BOTOX · CAMCEVI · CEREC · EDEX · ELIGARD · ERLEADA · FLOSEAL · GEMTESA · GENTLECATH · General - Erectile Dysfunction · INTERSTIM · Infyna Chic · JATENZO · JELMYTO · JEVTANA · KEYTRUDA · LYNPARZA · LoFric · MYRBETRIQ · Myrbetriq · NANOKNIFE · NOCDURNA · Natesto · Nubeqa · ORGOVYX · PROVENGE · PYLARIFY · Peristeen · STRAVIX · SpeediCath · Titan · UROLIFT · Uribel · UroLift System · VaPro Plus Pocket · XIAFLEX · XTANDI · XYOSTED · Xofigo · Xtandi · YONSA
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for a nurse practitioner - family in Cincinnati?
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Geographic Context

Family nurse practitioners in nearby ZIP areas
1,336
County median income
$70,816
Nearest hospital to ZIP centroid (approximate)
MERCY HEALTH - WEST HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included 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

Helton is a clinical cardiology specialist, with above-average Medicare volume (top 5% in OH).

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

Frequently Asked Questions

Is Helton experienced with urinalysis, manual?
Based on Medicare claims data, Helton performed 287 urinalysis, manual services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Helton receive payments from pharmaceutical companies?
Yes. Helton received a total of $8,329 from 44 companies across 380 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Helton's costs compare to other family nurse practitioners in Cincinnati?
Helton's average Medicare payment per service is $39. 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 Helton) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →