NPI: 1255002721 · CLEMMONS, NC 27012 · Pediatrics Physician · NPI assigned 09/24/2021
Authorized official WALTON, LEEA controls 20+ related entities in our dataset. Read more
| Authorized Official | WALTON, LEEA (RCS MANAGER) |
| NPI Enumeration Date | 09/24/2021 |
Other providers sharing the same authorized official: WALTON, LEEA
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 9,529 | $398K |
| 2023 | 6,501 | $217K |
| 2024 | 6,256 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4,327 | 3,170 | $280K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,390 | 1,017 | $131K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1,359 | 1,036 | $67K |
| 99199 | Unlisted special service, procedure or report | 9,511 | 9,463 | $28K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 430 | 332 | $27K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 465 | 346 | $25K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1,309 | 995 | $24K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 102 | 77 | $10K |
| 90834 | Psychotherapy, 45 minutes with patient | 176 | 104 | $10K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 348 | 269 | $10K |
| 96127 | 1,817 | 1,372 | $9K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 76 | 55 | $8K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 618 | 456 | $6K |
| 90461 | 79 | 63 | $432.01 | |
| 90674 | 65 | 51 | $175.99 | |
| 92551 | 132 | 102 | $8.18 | |
| 99173 | 65 | 42 | $0.00 | |
| 90670 | 17 | 13 | $0.00 |