Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Georgia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Terry Walton (NPI 1518358308)

Field	Value
Entity Type	Individual
Organization	Terry Walton
Address	1445 Woodmont Ln Nw Ste 3703
City	Atlanta
State	GA
ZIP	30318
Taxonomy	Clinical Social Worker
NPI Enumerated	February 15, 2015

Payer Source	Total Paid
Medicare	$447.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	4,640	$90	$394.4K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	310	$100	$29.7K
G0323	Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per…	720	$30	$17.9K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	100	$50	$4.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Terry Walton — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90837	1	290	180	$90	$24.2K
G0323	1	10	720	$30	$18.1K
90834	68	130	100	$60	$10.8K
90791	5	240	20	$110	$4.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Abimbola Aluko	GA	Psychiatric/Mental Health Nurse Practitioner	$208.2K	$0
Igwebuike Udeze	GA	Family Nurse Practitioner	$170K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Total Renal Care Inc	GA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.3M
William Jonas	GA	Hematology & Oncology Physician	$1.8M	$0
Labsolutions LLC	GA	Clinical Medical Laboratory	$0	$1.8M
Morehouse Healthcare, Inc.	GA	Cardiovascular Disease Physician	$0	$1.3M
Jay Rhee	GA	Hematology & Oncology Physician	$871.7K	$0
Nikita Amin	GA	Hematology & Oncology Physician	$444.2K	$0
Holton Dialysis Clinic, LLC	GA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$332.7K
Bruce Bode	GA	Endocrinology, Diabetes & Metabolism Physician	$327.9K	$0
David Robertson	GA	Endocrinology, Diabetes & Metabolism Physician	$294.4K	$0
Jonathan Ownby	GA	Endocrinology, Diabetes & Metabolism Physician	$218.6K	$0

Terry Walton — Billing Profile & Reimbursement Data

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Terry Walton — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References