Physician

David Helfrich

According to 2025 Medicare claims, David Helfrich (NPI: 1770565095) practices rheumatology in the Pittsburgh, PA market, with the plurality of this provider's patient population coming from Allegheny, PA. This provider's primary affiliated billing organization is UNIVERSITY OF PITTSBURGH PHYSICIANS (NPI: 1295793487; TIN: 232919472) and primary practice location at 15102-1827. Helfrich is affiliated with the Bridges Health Partners Accountable Care Organization (ACO ID: A3919), participating under the MSSP model.

Helfrich's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 457 traditional Medicare patients, billed 172,694 HCPCS/CPT codes, and received $969,589 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 5,008 prescription claims across 803 beneficiaries totaling $3,676,174 in drug costs, led by Enbrel Sureclick (Etanercept). No Open Payments records. 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 moved from a lower plateau to a higher plateau, from $291,358 to $969,589. Similarly, Part D prescription costs have risen steadily, from $1,718,018 to $3,676,174. 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$485K$970K2015 Medicare payment: $291,358 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $401,993 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $570,150 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $630,702 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $721,275 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $910,961 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $960,519 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $829,993 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $883,906 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $969,589 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201575931,400$291,358
201682756,401$401,993
201788565,834$570,150
201894156,261$630,702
201944673,213$721,275
2020399103,968$910,961
2021433131,896$960,519
2022473142,267$829,993
2023468145,421$883,906
2024457172,694$969,589

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$2.2M$4.4M2015 Drug cost: $1,718,018 (USD; Tot_Drug_Cst)2016 Drug cost: $2,040,304 (USD; Tot_Drug_Cst)2017 Drug cost: $2,008,878 (USD; Tot_Drug_Cst)2018 Drug cost: $2,428,530 (USD; Tot_Drug_Cst)2019 Drug cost: $2,803,864 (USD; Tot_Drug_Cst)2020 Drug cost: $2,849,106 (USD; Tot_Drug_Cst)2021 Drug cost: $2,898,230 (USD; Tot_Drug_Cst)2022 Drug cost: $3,310,282 (USD; Tot_Drug_Cst)2023 Drug cost: $4,396,609 (USD; Tot_Drug_Cst)2024 Drug cost: $3,676,174 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20156886,422$1,718,018
20167206,483$2,040,304
20177746,677$2,008,878
20188016,197$2,428,530
20197825,440$2,803,864
20207815,318$2,849,106
20217634,937$2,898,230
20227655,060$3,310,282
20238215,326$4,396,609
20248035,008$3,676,174

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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 more278428$87
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more187215$55
20610Aspiration and/or injection of fluid from large joint55104$54
96372Injection of drug or substance under skin or into muscle51746$10
J1010Injection, methylprednisolone acetate, 1 mg745,380$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Enbrel SureclickEtanercept1564,424$1,257,133
Humira(Cf) PenAdalimumab692,080$668,077
EnbrelEtanercept501,400$284,853
Xeljanz XrTofacitinib Citrate471,410$265,039
RinvoqUpadacitinib24720$155,539

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for David Helfrich?

Tedicare shows public-source Medicare data for David Helfrich (NPI 1770565095), 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 David Helfrich have ACO affiliation data?

David Helfrich is shown with ACO affiliation data for Bridges Health Partners Accountable Care Organization (MSSP, ACO ID A3919).

What billing organization is linked to David Helfrich?

David Helfrich is linked to UNIVERSITY OF PITTSBURGH PHYSICIANS (billing NPI 1295793487) in the available physician profile data.

Does David Helfrich have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.