Walden Medical, PLLC

Walden Medical, PLLC was paid $210K by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 88% of everything it billed.

33Billing provider infoWALDEN MEDICAL, PLLC
WALDEN, NY 12586

33aNPI1568657005assigned 09/07/2007

33bProvider typePhysician Assistant

28Total paid$210K

24GClaims3,207

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Physician Assistant providers in New York

Rank by total paid#23 of 263

Median peer was paid$3K

This provider vs. median64×

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	448	$26K
2019	482	$31K
2020	493	$31K
2021	555	$35K
2022	686	$47K
2023	383	$30K
2024incomplete	160	$10K

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	88%	2,061	1,885	$185K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	307	270	$22K
36415	Collection of venous blood by venipuncture	1.0%	839	815	$2K

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 officialGUNERATNE, FRANKLIN (OWNER)