Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WALLACE MEDICAL GROUP, INC

NPI: 1104047596 · BEVERLY HILLS, CA 90211 · Procedural Dermatology Physician · NPI assigned 05/01/2007

$1.05M
Total Medicaid Paid
35,971
Total Claims
30,864
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWALLACE, PAUL (MEDICAL DIRECTOR)
NPI Enumeration Date05/01/2007

Related Entities

Other providers sharing the same authorized official: WALLACE, PAUL

ProviderCityStateTotal Paid
INSIGHT HOME PHYSICIANS, PC PHILADELPHIA PA $23K
WALLACE MEDICAL GROUP BEVERLY HILLS CA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,112 14,513 $350K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,371 4,332 $220K
17110 2,548 2,411 $153K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,195 2,191 $86K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 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 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 452 328 $5K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 921 905 $4K
99243 44 44 $2K
17111 15 14 $2K
11100 56 55 $1K
99000 60 60 $809.75
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 46 43 $630.49
99024 40 40 $144.00
J3590 Unclassified biologics 23 15 $0.00