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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Dale Helman
๐Ÿง 
MDIndividual

Dale Helman, MD

NPI: 1407926009
Salinas, CA
10 years of data
Neurology
$3.4M
Total Payments
20.9K
Beneficiaries
29.5K
Services
3.46x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$3.4M
Specialty median$87.3K

๐Ÿ“‹ Key Findings

1Billed $3.4M over 10 years
23.46x markup ratio (above median)
399th percentile in Neurology by payments
48 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $3.4M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.

This provider's billing patterns fall within normal ranges for their specialty.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$712.22$172.504.13x$539.72$267.3K2.4K1.7K
2015$583.57$137.084.26x$446.49$300.1K2.7K1.8K
2016$505.83$135.033.75x$370.80$353.0K2.9K1.9K
2017$489.25$115.864.22x$373.39$310.6K2.8K2.0K
2018$648.33$173.103.75x$475.23$378.2K3.4K2.3K
2019$500.80$133.243.76x$367.56$335.8K3.0K2.1K
2020$461.81$132.953.47x$328.86$344.3K2.8K2.1K
2021$426.01$124.483.42x$301.53$396.5K3.1K2.4K
2022$449.49$133.403.37x$316.09$365.7K3.1K2.3K
2023$368.79$115.303.20x$253.49$374.3K3.3K2.3K

Top Procedures (17)

99214Established patient office or other outpatient, visit typically 25 minutes
$907.5K
10.4K services$87.34/svc2.01x markup
95911Nerve transmission studies, 9-10 studiesโš  4.8x markup
$786.2K
4.2K services$185.90/svc4.84x markup
95913Nerve transmission studies, 13 or more studiesโš  5.3x markup
$643.4K
2.7K services$235.68/svc5.30x markup
99205New patient office or other outpatient visit, typically 60 minutes
$278.7K
1.7K services$166.39/svc1.95x markup
95886Needle measurement and recording of electrical activity of muscles of arm or leg complete study
$254.1K
3.4K services$75.01/svc2.00x markup
95885Needle measurement and recording of electrical activity of muscles of arm or leg limited study
$227.4K
4.2K services$53.65/svc2.24x markup
99215Established patient office or other outpatient, visit typically 40 minutes
$76.9K
769 services$100.03/svc2.35x markup
95910Nerve transmission studies, 7-8 studiesโš  5.5x markup
$72.1K
467 services$154.35/svc5.51x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$61.5K
859 services$71.61/svc2.26x markup
95912Nerve transmission studies, 11-12 studiesโš  5.5x markup
$58.5K
308 services$190.09/svc5.55x markup
99203New patient outpatient visit, total time 30-44 minutesโš  3.1x markup
$26.4K
295 services$89.46/svc3.14x markup
95813Measurement of brain wave (EEG) activity greater than 1 hourโš  4.2x markup
$19.3K
55 services$350.88/svc4.20x markup
95816Measurement and recording of brain wave (EEG) activity, awake and drowsyโš  3.9x markup
$4.9K
16 services$305.51/svc3.93x markup
95957Digital analysis of electrical brain wave activity (EEG)
$3.8K
16 services$238.53/svc2.52x markup
99483Assessment of and care planning for patient with impaired thought processing, typically 50 minutes
$3.1K
16 services$191.59/svc1.57x markup
99204New patient office or other outpatient visit, 45-59 minutes
$1.7K
12 services$138.39/svc1.99x markup
99202New patient outpatient visit, total time 15-29 minutesโš  4.3x markup
$596.73
11 services$54.25/svc4.35x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99214Established patient office or other outpatient, visit typically 25 minutes10.4K$907.5K$87.342.01x
95911Nerve transmission studies, 9-10 studies4.2K$786.2K$185.904.84x
95913Nerve transmission studies, 13 or more studies2.7K$643.4K$235.685.30x
99205New patient office or other outpatient visit, typically 60 minutes1.7K$278.7K$166.391.95x
95886Needle measurement and recording of electrical activity of muscles of arm or leg complete study3.4K$254.1K$75.012.00x
95885Needle measurement and recording of electrical activity of muscles of arm or leg limited study4.2K$227.4K$53.652.24x
99215Established patient office or other outpatient, visit typically 40 minutes769$76.9K$100.032.35x
95910Nerve transmission studies, 7-8 studies467$72.1K$154.355.51x
99213Established patient office or other outpatient visit, typically 15 minutes859$61.5K$71.612.26x
95912Nerve transmission studies, 11-12 studies308$58.5K$190.095.55x
99203New patient outpatient visit, total time 30-44 minutes295$26.4K$89.463.14x
95813Measurement of brain wave (EEG) activity greater than 1 hour55$19.3K$350.884.20x
95816Measurement and recording of brain wave (EEG) activity, awake and drowsy16$4.9K$305.513.93x
95957Digital analysis of electrical brain wave activity (EEG)16$3.8K$238.532.52x
99483Assessment of and care planning for patient with impaired thought processing, typically 50 minutes16$3.1K$191.591.57x
99204New patient office or other outpatient visit, 45-59 minutes12$1.7K$138.391.99x
99202New patient outpatient visit, total time 15-29 minutes11$596.73$54.254.35x

Markup Analysis

Charge-to-Payment Ratio

3.46x

This provider submits charges 3.46 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.46x means for every $100 Medicare pays, this provider initially charges $346. This is higher than the national average.

Location

Salinas, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Neurology providers in CA for peer comparison.

Dale Helman (you)
$3.4M
Natan Shaoulian, M.D.
$33.8M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Natan Shaoulian, M.D.Beverly Hills, CA$33.8Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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