Walton, Terry
Walton, Terry was paid $56K by Medicaid between Jan 2018 and Mar 2019, across 9 billing codes. Its largest line is V2103, Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens — 33% of everything it billed.
33Billing provider infoWALTON, TERRY
GLENS FALLS, NY 12801
GLENS FALLS, NY 12801
33aNPI1437336088assigned 01/25/2008
33bProvider typeOptometrist
28Total paid$56K
24GClaims4,534
24DCodes billed9
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#671 of 1,605
Median peer was paid$29K
This provider vs. median1.9×
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 | 3,673 | $45K | |
| 2019 | 861 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 33% | 900 | 450 | $18K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 27% | 370 | 370 | $15K |
| V2020 | Frames, purchases | 19% | 1,043 | 1,041 | $11K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 8.3% | 115 | 115 | $5K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 8.2% | 114 | 114 | $5K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 2.2% | 30 | 30 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.3% | 97 | 79 | $739.44 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 14 | 14 | $546.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 1,851 | 939 | $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.