Wallace, Thomas

Wallace, Thomas was paid $100K by Medicaid between Nov 2020 and Dec 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 62% of everything it billed.

33Billing provider infoWALLACE, THOMAS
WILLIAMSPORT, PA 17702

33aNPI1306882725assigned 06/22/2006

33bProvider typeFamily Medicine Physician

28Total paid$100K

24GClaims3,038

24DCodes billed9

24AFirst – last monthNov 2020 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Pennsylvania

Rank by total paid#629 of 2,756

Median peer was paid$19K

This provider vs. median5.2×

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
2020	47	$2K
2021	487	$15K
2022	528	$17K
2023	1,303	$39K
2024incomplete	673	$27K

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	62%	1,858	1,622	$62K
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	34%	714	670	$34K
80061	Lipid panel	1.4%	105	95	$1K
80053	Comprehensive metabolic panel	<1%	96	90	$982.61
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	128	124	$706.00
G0008	Administration of influenza virus vaccine	<1%	37	32	$415.87
99490	Ccm add 20min	<1%	59	59	$141.70
90656		0%	12	12	$0.00
G9920	Screening performed and negative	0%	29	29	$0.00

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.