Wall Medical Group

Wall Medical Group was paid $180K by Medicaid between Jan 2018 and May 2021, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.

33Billing provider infoWALL MEDICAL GROUP
SOUTH SAN FRANCISCO, CA 94080

33aNPI1427008135assigned 05/11/2006

33bProvider typeOphthalmology Physician

28Total paid$180K

24GClaims2,848

24DCodes billed9

24AFirst – last monthJan 2018 – May 2021

Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#233 of 759

Median peer was paid$35K

This provider vs. median5.1×

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	1,022	$64K
2019	817	$46K
2020	745	$55K
2021	264	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	49%	1,593	1,527	$88K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	38%	819	773	$68K
99243		5.6%	97	97	$10K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.1%	158	150	$6K
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	1.6%	27	27	$3K
99429		1.1%	78	78	$2K
99205	Prolong outpt/office vis	<1%	12	12	$2K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	51	51	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	13	13	$1K

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 officialBROOKS, CATHERINE (OFFICE MANAGER)