Medicaid Provider Spending

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

KIMBERLY WALLACE MD PC

NPI: 1497397202 · OAK PARK, MI 48237 · Medical Specialty Clinic/Center · NPI assigned 10/14/2019

$66K
Total Medicaid Paid
3,582
Total Claims
3,267
Beneficiaries
15
Codes Billed
2020-01
First Month
2023-03
Last Month

Provider Details

Authorized OfficialWALLACE, KIMBERLY (PRESIDENT)
NPI Enumeration Date10/14/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 591 $8K
2021 1,589 $31K
2022 1,368 $26K
2023 34 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 653 596 $31K
99385 144 144 $12K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 606 604 $8K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 612 610 $8K
99386 34 34 $3K
99395 27 27 $2K
99203 14 14 $673.14
87590 86 86 $578.50
87110 86 86 $421.98
99202 12 12 $367.30
36415 50 49 $113.52
99072 33 32 $62.50
G8420 Bmi is documented within normal parameters and no follow-up plan is required 185 174 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 340 307 $0.00
0502F 700 492 $0.00