WALLACE MEDICAL GROUP, INC
NPI: 1104047596
· BEVERLY HILLS, CA 90211
· 207NS0135X
$1.05M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,845 |
$38K |
| 2019 |
4,474 |
$127K |
| 2020 |
4,566 |
$131K |
| 2021 |
4,783 |
$142K |
| 2022 |
6,675 |
$196K |
| 2023 |
7,410 |
$233K |
| 2024 |
6,218 |
$186K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
17,112 |
14,513 |
$350K |
| 99204 |
|
4,371 |
4,332 |
$220K |
| 17110 |
|
2,548 |
2,411 |
$153K |
| 99203 |
|
2,195 |
2,191 |
$86K |
| 99214 |
|
3,324 |
2,922 |
$85K |
| 11104 |
|
568 |
563 |
$42K |
| 96910 |
|
2,541 |
793 |
$40K |
| 99205 |
Prolong outpt/office vis |
577 |
571 |
$38K |
| 11900 |
|
972 |
958 |
$15K |
| 11102 |
|
106 |
106 |
$7K |
| 96372 |
|
452 |
328 |
$5K |
| J3301 |
Triamcinolone acet inj nos |
921 |
905 |
$4K |
| 99243 |
|
44 |
44 |
$2K |
| 17111 |
|
15 |
14 |
$2K |
| 11100 |
|
56 |
55 |
$1K |
| 99000 |
|
60 |
60 |
$809.75 |
| 99212 |
|
46 |
43 |
$630.49 |
| 99024 |
|
40 |
40 |
$144.00 |
| J3590 |
Unclassified biologics |
23 |
15 |
$0.00 |