Whealton, Thomas

Whealton, Thomas was paid $11K by Medicaid between Apr 2022 and Mar 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.

33Billing provider infoWHEALTON, THOMAS
CORBIN, KY 40701

33aNPI1811254105assigned 04/12/2012

33bProvider typePain Medicine (Anesthesiology) Physician

28Total paid$11K

24GClaims315

24DCodes billed6

24AFirst – last monthApr 2022 – Mar 2024

Compared with peers

Next to other Pain Medicine (Anesthesiology) Physician providers in Kentucky

Rank by total paid#15 of 21

Median peer was paid$90K

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
2022	78	$0.63
2023	13	$85.26
2024incomplete	224	$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	44%	88	82	$5K
80307	Drug test(s), presumptive, any number of drug classes; immunoassay	19%	57	57	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	19%	89	83	$2K
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	17%	20	20	$2K
J2001	Injection, lidocaine hcl for intravenous infusion, 10 mg	<1%	42	25	$0.63
Q9966	Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml	0%	19	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.