Clinic
Kimberly Wallace MD PC
Kimberly Wallace MD PC was paid $66K by Medicaid between Jan 2020 and Mar 2023, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoKIMBERLY WALLACE MD PC
OAK PARK, MI 48237
OAK PARK, MI 48237
33aNPI1497397202assigned 10/14/2019
33bProvider typeMedical Specialty Clinic/Center
28Total paid$66K
24GClaims3,582
24DCodes billed15
24AFirst – last monthJan 2020 – Mar 2023
Compared with peers
Next to other Medical Specialty Clinic/Center providers in Michigan
Rank by total paid#14 of 34
Median peer was paid$45K
This provider vs. median1.5×
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 | 591 | $8K | |
| 2021 | 1,589 | $31K | |
| 2022 | 1,368 | $26K | |
| 2023 | 34 | $1K |
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 | 47% | 653 | 596 | $31K |
| 99385 | 18% | 144 | 144 | $12K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 12% | 606 | 604 | $8K |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 12% | 612 | 610 | $8K |
| 99386 | 4.6% | 34 | 34 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.0% | 27 | 27 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 14 | 14 | $673.14 |
| 87590 | <1% | 86 | 86 | $578.50 | |
| 87110 | <1% | 86 | 86 | $421.98 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | 12 | $367.30 |
| 36415 | Collection of venous blood by venipuncture | <1% | 50 | 49 | $113.52 |
| 99072 | <1% | 33 | 32 | $62.50 |
3 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, KIMBERLY (PRESIDENT)