Medicare Enrolled

Dr. Richard Helmer, MD

Optician · Waco, TX
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Speaking/Promotional
50 HILLCREST MEDICAL BLVD, Waco, TX 76712
2542020480
In practice since 2007 (18 years)
NPI: 1881898666 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. Helmer 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 →
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What this data tells you about Dr. Helmer

Dr. Richard Helmer is an optician specialist in Waco, TX, with 18 years of NPI registration. Based on federal Medicare data, Dr. Helmer performed 295 Medicare services across 282 unique beneficiaries.

Between the years covered by Open Payments, Dr. Helmer received a total of $18,321 from 17 pharmaceutical and/or device companies across 95 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. Helmer is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 18 years in practice ▲ 295 Medicare services $18,321 industry payments

Medicare Practice Summary

Medicare Utilization ↗
295
Medicare services
Bottom 24% in TX for optician
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
282
Unique beneficiaries
$243
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~16 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
New patient office visit, complex (60-74 min) 39 $170 $604
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.
27 $57 $213
Endoscopic vein harvest
A surgical procedure to remove a vein using an endoscope, which is a thin, lighted tube inserted through small incisions.
25 $12 $48
Coronary artery bypass graft, 1 artery
Surgical procedure to bypass a blocked coronary artery using a graft from another artery. This restores blood flow to the heart muscle.
25 $1,378 $5,583
Vacuum-assisted wound closure therapy, 50 sq cm or less
A therapy using a special bandage and vacuum pump to treat a wound surface area of 50.0 square centimeters or less.
25 $19 $121
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.
23 $123 $479
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.
21 $89 $313
Left atrial appendage exclusion
Surgical closure of the left atrial appendage of the heart, performed as part of another chest procedure.
20 $98 $370
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.
20 $38 $116
Coronary artery bypass graft, 2 grafts
A surgical procedure to restore blood flow to the heart by creating bypasses using two vein or artery grafts.
17 $308 $1,235
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.
16 $64 $299
Arterial thrombectomy, chest, neck, or brain
A procedure to remove a blood clot and part of an artery in the chest, neck, or brain.
14 $841 $3,418
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.
12 $134 $599
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.
11 $101 $404
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.
14.2% high complexity
0.0% medium
85.8% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$18,321
Total received (2018-2024)
Avg $2,617/year across 7 years
Top 10% in TX for optician
17
Companies
95
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
$13,743 (75.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$4,579 (25.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,650
2023
$843
2022
$873
2021
$435
2020
$302
2019
$2,789
2018
$11,428

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Intuitive Surgical, Inc.
$14,588
AtriCure, Inc.
$804
ABIOMED
$633
Stryker Corporation
$480
Edwards Lifesciences Corporation
$427
Inari Medical, Inc.
$327
ATRICURE, INC.
$269
W. L. Gore & Associates, Inc.
$225
INTUITIVE SURGICAL, INC.
$130
Abbott Laboratories
$83
AstraZeneca Pharmaceuticals LP
$68
Medtronic, Inc.
$68
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$65
Boehringer Ingelheim Pharmaceuticals, Inc.
$47
Maquet Cardiovascular U.S. Sales, L.L.C.
$46
Amgen Inc.
$40
E.R. Squibb & Sons, L.L.C.
$21
Top 3 companies account for 87.5% of total payments
Associated products mentioned in payments ›
ANDEXXA · ASSURITY · ATRICLIP LAA EXCLUSION SYSTEM · ATRICURE CRYOICE CRYOABLATION SYSTEM (CRYO2) · AVEIR · AtriCure Cryosurgical System · CAMZYOS · CHROMOPHARE F300 · COREVALVE EVOLUT R · Da Vinci Surgical System · EDWARDS INTUITY Elite valve system · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · ESPRIT · Edwards SAPIEN 3 Transcatheter Heart Valve · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · FARXIGA · FLOWTRIEVER CATHETER · HemoSphere · INSPIRIS RESILIA aortic valve · Impella · JARDIANCE · LifeVest · Repatha · S · SYNERGY ABLATION SYSTEM · VASOVIEW · VIABAHN Endoprosthesis with PROPATEN Bioactive Surface · VIABAHN VBX Balloon Expandable Endoprosthesis
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 (75%) 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 10% for optician in TX.

Equivalent to $6,211 per 100 Medicare services performed
Looking for an optician specialist in Waco?
Compare opticians in the Waco area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Opticians within 10 mi
31
Per 100K population
11.8
County median income
$63,888
Nearest hospital
ASCENSION PROVIDENCE
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 measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Helmer is a clinical cardiology specialist, with moderate Medicare volume, with speaking/promotional industry engagement in the top 10% of TX peers, with 18 years of NPI registration.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Helmer experienced with new patient office visit, complex (60-74 min)?
Based on Medicare claims data, Dr. Helmer performed 39 new patient office visit, complex (60-74 min) 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. Helmer receive payments from pharmaceutical companies?
Yes. Dr. Helmer received a total of $18,321 from 17 companies across 95 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. Helmer's costs compare to other opticians in Waco?
Dr. Helmer's average Medicare payment per service is $243. 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. Helmer) 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. The Transparency Score measures 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. 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 →