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    OpenPayerNPI Medicare & MedicaidWalton Toy
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    Walton Toy — Billing Profile & Reimbursement Data

    NPI 1033231915 · Rogers, AR · Rheumatology Physician

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    Walton Toy is a rheumatology physician provider located in Rogers, Arkansas. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationWalton Toy
    Address1002 S 52nd Street
    CityRogers
    StateAR
    ZIP72758
    TaxonomyRheumatology Physician
    NPI EnumeratedApril 4, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$592.6K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)9,180$30$311.9K
    J0897Injection, denosumab, 1 mg4,020$20$72.4K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…850$80$67.2K
    Q5103Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg3,630$20$58.1K
    J1745Injection, infliximab, excludes biosimilar, 10 mg1,910$30$49.7K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…300$80$24.7K
    96415In this add on procedure, the provider continues administration of a chemotherapy drug into a vein using an infusion technique. He uses this code to report each additional hour of infusion beyond the…200$20$3.7K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…30$120$2.9K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.60$40$2.7K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…260$10$2.4K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01298208,960$30$532.4K
    J17458103,150$30$102.3K
    J0897621602,580$20$89.7K
    Q51031103,630$20$56.6K
    964134580380$90$36.6K
    992142804,300130$70$18.8K
    9921554187030$110$8.5K
    963656180180$40$8.1K
    964152070140$20$3.1K
    9944219119020$50$1.5K

    Showing 1–10 of 11

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Walton Toy, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Hospital RogersARGeneral Acute Care Hospital$0$14.2M
    Mercy Health Northwest Arkansas CommunitiesARMulti-Specialty Clinic/Center$0$8.4M
    Mercy Hospital RogersARHome Health Agency$0$1.8M
    Amr El-shafeiARCardiovascular Disease Physician$451.1K$0
    Vikas SayalAZPulmonary Disease Physician$442.1K$1.3K
    Roy SampsonARRheumatology Physician$378.7K$0
    Ron SchechterAROrthopaedic Surgery Physician$270K$0
    Lance WeathersARCardiovascular Disease Physician$219.9K$0
    Orlando Aguilar-guzmanARUrology Physician$216.8K$0
    Cara RileyARInternal Medicine Physician$216.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Walton Toy, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eric SchaeferARHematology & Oncology Physician$3.6M$0
    St. Francis House Nwa, Inc.ARDental Clinic/Center$0$2.9M
    Daniel BradfordARHematology & Oncology Physician$2.8M$0
    Northwest Arkansas Pediatric Dental CenterARPediatric Dentistry$0$2.5M
    Brian T Hyatt Md LLCARPsychiatry Physician$0$2.1M
    Harvey Pediatrics. PLLCARPediatrics Physician$0$1.8M
    Precision Surgical Center Of Northwest Arkansas, LLCARAmbulatory Surgical Clinic/Center$1.8M$0
    Michael GaroneARDermatology Physician$1.2M$0
    Christopher StoutARVascular Surgery Physician$908.2K$260
    Rondall HaneyARDiagnostic Radiology Physician$629.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Arkansas Distribution
    Walton Toy — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arkansas