Walters Surgical Assoc PA
Walters Surgical Assoc PA was paid $173K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoWALTERS SURGICAL ASSOC PA
WHITEVILLE, NC 28472
WHITEVILLE, NC 28472
33aNPI1942265301assigned 04/19/2006
33bProvider typeSpecialist
28Total paid$173K
24GClaims12,002
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in North Carolina
Rank by total paid#73 of 172
Median peer was paid$83K
This provider vs. median2.1×
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 | 2,379 | $24K | |
| 2019 | 1,650 | $21K | |
| 2020 | 1,269 | $16K | |
| 2021 | 1,417 | $24K | |
| 2022 | 2,134 | $36K | |
| 2023 | 1,463 | $21K | |
| 2024incomplete | 1,690 | $31K |
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 | 52% | 4,294 | 2,698 | $90K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 4,254 | 2,678 | $55K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 4.1% | 681 | 128 | $7K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.8% | 786 | 616 | $7K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 3.7% | 618 | 245 | $6K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.1% | 306 | 96 | $5K |
| 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 | 1.8% | 63 | 52 | $3K |
| 1036F | 0% | 121 | 104 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 121 | 104 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 115 | 101 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 522 | 419 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 106 | 95 | $0.00 |
1 more codes
| G9316 | Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family | 0% | 15 | $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.
From NPPES
Who's on the registration
Authorized officialRHODES, SHIRREL (OFFICE MANAGER)