Clinic
Doctors Medical Center of Walton County PA
Doctors Medical Center of Walton County PA was paid $571K by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoDOCTORS MEDICAL CENTER OF WALTON COUNTY PA
DEFUNIAK SPRINGS, FL 32435
DEFUNIAK SPRINGS, FL 32435
33aNPI1437271509assigned 04/06/2007
33bProvider typeClinic/Center
28Total paid$571K
24GClaims42,662
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Florida
Rank by total paid#82 of 349
Median peer was paid$95K
This provider vs. median6.0×
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 | |
|---|---|---|---|
| 2018 | 599 | $9K | |
| 2019 | 4,221 | $94K | |
| 2020 | 3,234 | $73K | |
| 2021 | 6,157 | $129K | |
| 2022 | 8,722 | $97K | |
| 2023 | 12,008 | $100K | |
| 2024incomplete | 7,721 | $70K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 61% | 12,612 | 9,774 | $348K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 3,927 | 3,231 | $99K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.4% | 471 | 390 | $25K |
| 3074F | 3.3% | 6,634 | 5,392 | $19K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 251 | 225 | $19K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.0% | 266 | 228 | $17K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 208 | 184 | $16K |
| 1159F | 1.0% | 524 | 461 | $6K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 60 | 47 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 47 | 40 | $3K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 94 | 89 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 109 | 105 | $3K |
19 more codes
| 3077F | <1% | 1,724 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,333 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 678 | $2K |
| 87428 | <1% | 20 | $1K | |
| 3078F | <1% | 6,983 | $882.78 | |
| 3075F | <1% | 1,028 | $829.32 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 187 | $720.83 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 117 | $498.28 |
| 3079F | <1% | 1,896 | $342.39 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 203 | $326.17 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 144 | $162.31 |
| 1170F | <1% | 241 | $120.48 | |
| 3080F | <1% | 926 | $111.23 | |
| 1160F | <1% | 523 | $111.22 | |
| 81003 | <1% | 71 | $87.15 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 69 | $28.35 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 29 | $26.86 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 91 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 196 | $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.
From NPPES
Who's on the registration
Authorized officialHOWELL, JAMES (OWNER)