Physician

Peter Franklin Helvie, MD

According to 2025 Medicare claims, Peter Helvie, MD (NPI: 1124480488) practices orthopedic surgery in the Lynchburg, VA market, with the plurality of this provider's patient population coming from Campbell, VA. This provider's primary affiliated billing organization is ORTHOVIRGINIA, INC. (NPI: 1265470645; TIN: 54-0885859) and primary practice location at 24501-2184.

Helvie's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,006 traditional Medicare patients, billed 6,184 HCPCS/CPT codes, and received $339,341 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,031 prescription claims across 416 beneficiaries totaling $14,667 in drug costs, led by Celecoxib (Celecoxib). DME data shows 61 claims. Open Payments data shows 9 records totaling $8,971. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $996 to $14,667. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$170K$339K2022 Medicare payment: $66,950 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $303,430 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $339,341 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
20222781,335$66,950
20239695,926$303,430
20241,0066,184$339,341

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$7.3K$15K2017 Drug cost: $996 (USD; Tot_Drug_Cst)2018 Drug cost: $1,458 (USD; Tot_Drug_Cst)2019 Drug cost: $876 (USD; Tot_Drug_Cst)2021 Drug cost: $554 (USD; Tot_Drug_Cst)2022 Drug cost: $1,756 (USD; Tot_Drug_Cst)2023 Drug cost: $9,465 (USD; Tot_Drug_Cst)2024 Drug cost: $14,667 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
20171423$996
20181928$1,458
20192454$876
2020N/RN/RN/R
20211423$554
202268105$1,756
2023303683$9,465
20244161,031$14,667

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$2.2K$4.5K2017 Medicare payment: $991 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $4,132 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $4,494 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
20172626$991
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
20234141$4,132
20246161$4,494

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more291400$88
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more310374$62
20610Aspiration and/or injection of fluid from large joint214315$51
73562X-ray of knee, 3 views214276$29
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg2123,161$1

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
CelecoxibCelecoxib1132,825$2,929
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen1791,393$1,499
Tranexamic AcidTranexamic Acid232252$1,351
Naloxone HclNaloxone Hcl23168$1,254
Diclofenac SodiumDiclofenac Sodium982,563$844

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
L1820Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertiseN1818$2,209
L1812Knee orthosis, elastic with joints, prefabricated, off-the-shelfN1717$1,154
E0143Walker, folding, wheeled, adjustable or fixed heightN2626$1,131

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.9$8,971Medical Device Business Services, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Peter Franklin Helvie, MD?

Tedicare shows public-source Medicare data for Peter Franklin Helvie, MD (NPI 1124480488), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Peter Franklin Helvie, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Peter Franklin Helvie, MD?

Peter Franklin Helvie, MD is linked to ORTHOVIRGINIA, INC. (billing NPI 1265470645) in the available physician profile data.

Does Peter Franklin Helvie, MD have Open Payments data?

Peter Franklin Helvie, MD has 9 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.