Walther, Stephen
Walther, Stephen was paid $121K by Medicaid between Jan 2018 and Mar 2020, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoWALTHER, STEPHEN
ST. LOUIS, MO 63141
ST. LOUIS, MO 63141
33aNPI1912296740assigned 04/01/2011
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$121K
24GClaims3,273
24DCodes billed20
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in Missouri
Rank by total paid#10 of 102
Median peer was paid$7K
This provider vs. median18×
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 | 2,219 | $80K | |
| 2019 | 912 | $35K | |
| 2020 | 142 | $5K |
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 | 44% | 1,265 | 1,214 | $53K |
| 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 | 11% | 214 | 212 | $14K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 158 | 150 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.5% | 138 | 132 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.1% | 105 | 103 | $7K |
| 92551 | 5.6% | 327 | 321 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.6% | 78 | 78 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.0% | 316 | 158 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 174 | 166 | $2K |
| 87070 | <1% | 121 | 113 | $1K | |
| 90686 | <1% | 153 | 150 | $915.76 | |
| 90670 | <1% | 93 | 91 | $565.78 |
8 more codes
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.