NPI: 1235798992 · SUPPLY, NC 28462 · Pediatrics Physician · NPI assigned 06/06/2019
Authorized official WALTON, LEEA controls 20+ related entities in our dataset. Read more
| Authorized Official | WALTON, LEEA (RCS MANAGER) |
| NPI Enumeration Date | 06/06/2019 |
Other providers sharing the same authorized official: WALTON, LEEA
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 105 | $5K |
| 2020 | 3,605 | $124K |
| 2021 | 10,647 | $337K |
| 2022 | 15,244 | $348K |
| 2023 | 17,570 | $314K |
| 2024 | 11,794 | $33K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2,704 | 2,094 | $253K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3,183 | 2,450 | $207K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3,428 | 2,785 | $170K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1,611 | 1,278 | $162K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,396 | 1,063 | $138K |
| 99199 | Unlisted special service, procedure or report | 28,260 | 27,861 | $91K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3,850 | 3,142 | $39K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 519 | 430 | $25K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 186 | 170 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 112 | 79 | $11K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 518 | 426 | $9K |
| 99460 | 83 | 81 | $7K | |
| 96161 | 1,666 | 1,338 | $6K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 82 | 79 | $6K |
| 90461 | 2,252 | 1,826 | $4K | |
| 83655 | 277 | 209 | $4K | |
| 87807 | 311 | 239 | $4K | |
| 96127 | 447 | 338 | $2K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 82 | 66 | $2K |
| 99222 | Initial hospital care, per day, moderate complexity | 16 | 12 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | 41 | 30 | $2K |
| 99239 | Hospital discharge day management, more than 30 minutes | 16 | 15 | $1K |
| D1206 | Topical application of fluoride varnish | 41 | 30 | $701.40 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 26 | 12 | $376.84 |
| 88720 | 66 | 51 | $274.68 | |
| 92551 | 723 | 551 | $232.96 | |
| 85018 | 535 | 417 | $161.52 | |
| 99177 | 843 | 649 | $130.34 | |
| 36416 | 618 | 472 | $96.60 | |
| 90686 | 346 | 289 | $35.80 | |
| 99173 | 366 | 269 | $24.76 | |
| 90670 | 1,555 | 1,300 | $0.00 | |
| 90648 | 421 | 350 | $0.00 | |
| 90633 | 53 | 40 | $0.00 | |
| 84030 | 13 | 13 | $0.00 | |
| 90723 | 293 | 241 | $0.00 | |
| 90698 | 768 | 638 | $0.00 | |
| 90674 | 63 | 44 | $0.00 | |
| 90680 | 934 | 769 | $0.00 | |
| 90744 | 261 | 200 | $0.00 |