Walton, Matthew

Walton, Matthew was paid $26K by Medicaid between Nov 2020 and Dec 2024, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.

33Billing provider infoWALTON, MATTHEW
CLAIRTON, PA 15025

33aNPI1780904763assigned 06/01/2010

33bProvider typeFamily Medicine Physician

28Total paid$26K

24GClaims1,472

24DCodes billed8

24AFirst – last monthNov 2020 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#1,222 of 2,756

Median peer was paid$19K

This provider vs. median1.4×

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
2020	36	$0.00
2021	944	$13K
2022	51	$0.00
2023	41	$1K
2024incomplete	400	$12K

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	61%	348	335	$16K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	38%	300	288	$10K
G0008	Administration of influenza virus vaccine	<1%	13	13	$121.00
90686		<1%	13	12	$110.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	286	272	$0.00
3079F		0%	114	110	$0.00
3074F		0%	225	216	$0.00
3078F		0%	173	163	$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.