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 Ohio for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Ohio 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. Ohio (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.

Timothy Walter (NPI 1780625962)

Field	Value
Entity Type	Individual
Organization	Timothy Walter
Address	2441 Old Stringtown Rd
City	Grove City
State	OH
ZIP	43123
Taxonomy	Specialist
NPI Enumerated	June 9, 2006

Payer Source	Total Paid
Medicare	$98.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
95811	During the study, the physician monitors the sleep pattern of the patient, along with different bodily functions during the sleep cycle extending over a period of six hours or more.	110	$440	$50.6K
95810	Polysomnography refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep for six or more hours with physician review,…	50	$430	$20K
99214	The 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…	220	$90	$19.2K
99204	The provider sees a new 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 provider…	70	$110	$7.7K
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	20	$70	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Timothy Walter — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,684	20,010	100	$70	$11.7K
95811	11	160	30	$160	$7.2K
95810	57	150	30	$130	$5.9K
99204	1,254	8,330	30	$100	$4.4K
99203	4,127	6,380	30	$60	$2.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mount Carmel Health System	OH	General Acute Care Hospital	$0	$14.4M
Jackson Township Franklin County	OH	Ambulance	$379.5K	$1.2M
Dean Hearne	OH	Dermatology Physician	$305K	$0
Ryan Carlson	OH	Dermatology Physician	$204.2K	$0
Justin Weiner	OH	Clinical Cardiac Electrophysiology Physician	$185.6K	$0
Jeffrey Backes	OH	Sports Medicine (Orthopaedic Surgery) Physician	$159.3K	$0
Theodore Pollock	OH	Hematology & Oncology Physician	$98.3K	$0
Thura Harfi	OH	Cardiovascular Disease Physician	$98.1K	$0
Ravish Shah	OH	Nephrology Physician	$85.2K	$0
Nicholas Stoycheff	OH	Nephrology Physician	$77.7K	$0

Timothy Walter — Billing Profile & Reimbursement Data

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Timothy Walter — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References