Medicaid Provider Spending

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

NPI: 1154422343 · BEVERLY HILLS, CA 90211 · Dermatology Physician · NPI assigned 09/26/2006

$1K
Total Medicaid Paid
121
Total Claims
109
Beneficiaries
1
Codes Billed
2018-10
First Month
2019-08
Last Month

Provider Details

Authorized OfficialWALLACE, PAUL (PRESIDENT)
NPI Enumeration Date09/26/2006

Related Entities

Other providers sharing the same authorized official: WALLACE, PAUL

ProviderCityStateTotal Paid
WALLACE MEDICAL GROUP, INC BEVERLY HILLS CA $1.05M
INSIGHT HOME PHYSICIANS, PC PHILADELPHIA PA $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 21 $286.20
2019 100 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 121 109 $1K