Physician
Rok, Walter
Rok, Walter was paid $14K by Medicaid between Jan 2018 and Feb 2018, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoROK, WALTER
FALL RIVER, MA 02721
FALL RIVER, MA 02721
33aNPI1780649467assigned 04/18/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$14K
24GClaims441
24DCodes billed12
24AFirst – last monthJan 2018 – Feb 2018
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Massachusetts
Rank by total paid#41 of 54
Median peer was paid$119K
This provider vs. median0.1×
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 | 441 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 53% | 108 | 102 | $7K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 44 | 44 | $2K |
| 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 | 10% | 15 | 14 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.2% | 12 | 12 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.1% | 61 | 61 | $580.64 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.7% | 40 | 23 | $514.94 |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 3.2% | 63 | 63 | $444.84 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.7% | 30 | 30 | $376.15 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 15 | 15 | $247.94 |
| 87081 | 1.2% | 24 | 24 | $167.91 | |
| 85018 | <1% | 15 | 15 | $37.75 | |
| 90686 | 0% | 14 | 14 | $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.