Physician
Wallace Medical Group, INC
Wallace Medical Group, INC was paid $1.05M by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoWALLACE MEDICAL GROUP, INC
BEVERLY HILLS, CA 90211
BEVERLY HILLS, CA 90211
33aNPI1104047596assigned 05/01/2007
33bProvider typeProcedural Dermatology Physician
28Total paid$1.05M
24GClaims35,971
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Procedural Dermatology Physician providers in California
Rank by total paid#3 of 12
Median peer was paid$31K
This provider vs. median34×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 6,218 | $186K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 17,112 | 14,513 | $350K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 21% | 4,371 | 4,332 | $220K |
| 17110 | 15% | 2,548 | 2,411 | $153K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.1% | 2,195 | 2,191 | $86K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8.1% | 3,324 | 2,922 | $85K |
| 11104 | 4.0% | 568 | 563 | $42K | |
| 96910 | 3.8% | 2,541 | 793 | $40K | |
| 99205 | Prolong outpt/office vis | 3.6% | 577 | 571 | $38K |
| 11900 | 1.4% | 972 | 958 | $15K | |
| 11102 | <1% | 106 | 106 | $7K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 452 | 328 | $5K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 921 | 905 | $4K |
7 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWALLACE, PAUL (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Insight Home Physicians, PC | Philadelphia, PA | $23K |
| Wallace Medical Group | Beverly Hills, CA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.