Walton, Todd
Walton, Todd was paid $17K by Medicaid between Mar 2019 and Sep 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 79% of everything it billed.
33Billing provider infoWALTON, TODD
JOHNSTOWN, NY 12095
JOHNSTOWN, NY 12095
33aNPI1174518583assigned 09/13/2005
33bProvider typeOptometrist
28Total paid$17K
24GClaims788
24DCodes billed6
24AFirst – last monthMar 2019 – Sep 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#905 of 1,605
Median peer was paid$29K
This provider vs. median0.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 95 | $563.49 | |
| 2020 | 153 | $3K | |
| 2021 | 193 | $4K | |
| 2022 | 119 | $3K | |
| 2023 | 125 | $4K | |
| 2024incomplete | 103 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 79% | 627 | 626 | $14K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16% | 59 | 58 | $3K |
| V2020 | Frames, purchases | 3.0% | 39 | 39 | $522.50 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.1% | 25 | 25 | $360.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 24 | 12 | $0.00 |
| 92015 | Determination of refractive state | 0% | 14 | 14 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.