Walton, Sean
Walton, Sean was paid $278K by Medicaid between Feb 2019 and Dec 2024, across 15 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 33% of everything it billed.
33Billing provider infoWALTON, SEAN
OCALA, FL 34471
OCALA, FL 34471
33aNPI1720244387assigned 08/04/2008
33bProvider typeOptometrist
28Total paid$278K
24GClaims18,352
24DCodes billed15
24AFirst – last monthFeb 2019 – Dec 2024
Compared with peers
Next to other Optometrist providers in Florida
Rank by total paid#70 of 941
Median peer was paid$21K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2019 | 2,700 | $28K | |
| 2020 | 1,027 | $8K | |
| 2021 | 1,621 | $23K | |
| 2022 | 5,302 | $81K | |
| 2023 | 4,897 | $76K | |
| 2024incomplete | 2,805 | $61K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 33% | 2,733 | 2,383 | $91K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 22% | 1,242 | 1,090 | $63K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 20% | 2,146 | 1,731 | $56K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 8.5% | 989 | 778 | $24K |
| V2020 | Frames, purchases | 6.1% | 2,691 | 2,345 | $17K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.5% | 3,264 | 2,775 | $12K |
| 92015 | Determination of refractive state | 4.3% | 3,627 | 3,165 | $12K |
| V2599 | Contact lens, other type | <1% | 12 | 12 | $2K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 33 | 28 | $997.50 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 306 | 264 | $282.00 |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 14 | 12 | $154.00 |
| V2025 | Deluxe frame | 0% | 931 | 751 | $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.