Terry L Walton Doctor of Optometry PC
Terry L Walton Doctor of Optometry PC was paid $470K by Medicaid between Mar 2018 and Dec 2024, across 12 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 29% of everything it billed.
33Billing provider infoTERRY L WALTON DOCTOR OF OPTOMETRY PC
GLENS FALLS, NY 12801
GLENS FALLS, NY 12801
33aNPI1972596369assigned 08/31/2005
33bProvider typeOptometrist
28Total paid$470K
24GClaims31,820
24DCodes billed12
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#209 of 1,605
Median peer was paid$29K
This provider vs. median16×
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 | 247 | $1K | |
| 2019 | 5,021 | $71K | |
| 2020 | 5,334 | $70K | |
| 2021 | 4,720 | $71K | |
| 2022 | 5,798 | $89K | |
| 2023 | 5,959 | $90K | |
| 2024incomplete | 4,741 | $78K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 29% | 3,598 | 3,584 | $135K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 29% | 6,533 | 3,194 | $134K |
| V2020 | Frames, purchases | 19% | 6,287 | 6,136 | $88K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 7.5% | 1,440 | 769 | $35K |
| 92002 | 6.3% | 725 | 722 | $30K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.4% | 506 | 504 | $21K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 358 | 350 | $13K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.2% | 138 | 137 | $5K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 161 | 82 | $5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 10,581 | 5,158 | $3K |
| 92015 | Determination of refractive state | <1% | 1,451 | 1,442 | $2K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 42 | 42 | $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 officialWALTON, TERRY (OWNER / OPTOMETRIST)