NPI: 1386396216 · WINSTON SALEM, NC 27105 · Pediatrics Physician · NPI assigned 01/21/2022
Authorized official WALTON, LEEA controls 20+ related entities in our dataset. Read more
| Authorized Official | WALTON, LEEA (RCS MANAGER) |
| NPI Enumeration Date | 01/21/2022 |
Other providers sharing the same authorized official: WALTON, LEEA
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12,524 | $355K |
| 2023 | 13,982 | $268K |
| 2024 | 15,094 | $39K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,608 | 1,183 | $156K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1,885 | 1,482 | $91K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 658 | 560 | $65K |
| 99199 | Unlisted special service, procedure or report | 24,611 | 24,307 | $64K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 867 | 673 | $56K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1,055 | 799 | $54K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 550 | 429 | $50K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 448 | 342 | $44K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 176 | 142 | $19K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 978 | 745 | $18K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1,312 | 1,083 | $13K |
| D0145 | Oral evaluation for a patient under three years of age | 308 | 288 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 730 | 287 | $10K |
| D1206 | Topical application of fluoride varnish | 308 | 288 | $5K |
| 90461 | 1,108 | 866 | $2K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 27 | 14 | $2K |
| 97802 | 46 | 36 | $2K | |
| 85018 | 748 | 586 | $635.65 | |
| 81003 | 96 | 75 | $207.15 | |
| 96161 | 41 | 38 | $156.37 | |
| 92551 | 1,185 | 919 | $139.48 | |
| 96127 | 32 | 27 | $139.09 | |
| 99173 | 1,217 | 929 | $93.30 | |
| 99177 | 176 | 148 | $39.90 | |
| 90674 | 239 | 180 | $29.38 | |
| 90648 | 152 | 134 | $0.00 | |
| 90670 | 365 | 303 | $0.00 | |
| 90633 | 28 | 25 | $0.00 | |
| 90734 | 43 | 37 | $0.00 | |
| 90710 | 14 | 13 | $0.00 | |
| 90715 | 23 | 19 | $0.00 | |
| 90744 | 18 | 14 | $0.00 | |
| 36416 | 86 | 71 | $0.00 | |
| 90680 | 94 | 78 | $0.00 | |
| 90698 | 160 | 119 | $0.00 | |
| 90723 | 120 | 108 | $0.00 | |
| 99000 | 21 | 16 | $0.00 | |
| 90651 | 54 | 40 | $0.00 | |
| 90696 | 13 | 12 | $0.00 |