Physician

Stephen L. Helgemo, M.D.

According to 2025 Medicare claims, Stephen Helgemo, M.D. (NPI: 1235142969) practices hand surgery in the Punta Gorda, FL market, with the plurality of this provider's patient population coming from Charlotte, FL. This provider's primary affiliated billing organization is STEPHEN L HELGEMO JR MD PA (NPI: 1982681490; TIN: 65-0931904) and primary practice location at 33948-1008.

Helgemo's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,206 traditional Medicare patients, billed 4,508 HCPCS/CPT codes, and received $487,854 in Medicare payments. The top billing code was 99203 (New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more). Part D data shows 166 prescription claims across 128 beneficiaries totaling $865 in drug costs, led by Tramadol Hcl-Acetaminophen (Tramadol Hcl/Acetaminophen). DME data shows 332 claims. Open Payments data shows 1 records totaling $19. 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's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $767 and ending at $865. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,159	5,159	$401,924
2016	1,298	5,862	$456,230
2017	1,237	5,204	$419,246
2018	1,257	5,159	$418,910
2019	1,277	5,490	$454,524
2020	1,087	4,522	$369,919
2021	1,050	4,542	$368,603
2022	994	4,212	$351,460
2023	1,359	5,146	$488,932
2024	1,206	4,508	$487,854

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	63	70	$767
2016	66	93	$1,006
2017	93	119	$965
2018	97	131	$1,203
2019	92	109	$953
2020	78	92	$628
2021	68	88	$813
2022	83	114	$758
2023	126	165	$968
2024	128	166	$865

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	449	486	$53,714
2016	490	525	$59,652
2017	478	508	$54,089
2018	446	485	$51,398
2019	471	508	$54,235
2020	376	405	$44,149
2021	333	354	$41,211
2022	276	289	$34,462
2023	386	412	$50,942
2024	324	332	$41,728

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	552	552	$79
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	312	369	$68
20550	Injection into tendon or ligament	321	456	$37
76000	Imaging guidance for procedure, 60 minutes or less	245	260	$33
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	536	1,088	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Tramadol Hcl-Acetaminophen	Tramadol Hcl/Acetaminophen	57	232	$292
Prednisone	Prednisone	31	546	$151
Methylprednisolone	Methylprednisolone	22	132	$148
Sulfamethoxazole-Trimethoprim	Sulfamethoxazole/Trimethoprim	26	166	$103

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
L3807	Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	N	151	155	$32,656
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	N	173	177	$9,073

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$19	Olympus America Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Stephen L. Helgemo, M.D.?

Tedicare shows public-source Medicare data for Stephen L. Helgemo, M.D. (NPI 1235142969), 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 Stephen L. Helgemo, M.D. have ACO affiliation data?

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

What billing organization is linked to Stephen L. Helgemo, M.D.?

Stephen L. Helgemo, M.D. is linked to STEPHEN L HELGEMO JR MD PA (billing NPI 1982681490) in the available physician profile data.

Does Stephen L. Helgemo, M.D. have Open Payments data?

Stephen L. Helgemo, M.D. has 1 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.