Pedersen, Walter
Pedersen, Walter was paid $100K by Medicaid between Mar 2018 and Oct 2022, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoPEDERSEN, WALTER
ST. CROIX, VI 00820
ST. CROIX, VI 00820
33aNPI1780671909assigned 10/03/2005
33bProvider typeSpecialist
28Total paid$100K
24GClaims1,032
24DCodes billed3
24AFirst – last monthMar 2018 – Oct 2022
Compared with peers
Next to other Specialist providers in Virgin Islands
Rank by total paid#2 of 5
Median peer was paid$18K
This provider vs. median5.6×
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 | 202 | $17K | |
| 2019 | 239 | $23K | |
| 2020 | 222 | $21K | |
| 2021 | 224 | $23K | |
| 2022 | 145 | $17K |
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 | 40% | 376 | 326 | $40K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 504 | 451 | $36K |
| 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 | 24% | 152 | 150 | $24K |
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.