Physician
Wallace, James
Wallace, James was paid $78K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 77% of everything it billed.
33Billing provider infoWALLACE, JAMES
CHICAGO, IL 60637
CHICAGO, IL 60637
33aNPI1669687307assigned 05/14/2007
33bProvider typeMedical Oncology Physician
28Total paid$78K
24GClaims3,312
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Medical Oncology Physician providers in Illinois
Rank by total paid#14 of 70
Median peer was paid$23K
This provider vs. median3.3×
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 | 183 | $3K | |
| 2019 | 420 | $6K | |
| 2020 | 1,141 | $14K | |
| 2021 | 335 | $9K | |
| 2022 | 379 | $13K | |
| 2023 | 368 | $15K | |
| 2024incomplete | 486 | $20K |
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 | 77% | 1,706 | 1,467 | $60K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 22% | 1,022 | 317 | $17K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 103 | 87 | $524.38 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 15 | 15 | $439.55 |
| 3008F | 0% | 139 | 98 | $0.00 | |
| 1036F | 0% | 139 | 98 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 138 | 97 | $0.00 |
| 3288F | 0% | 34 | 29 | $0.00 | |
| 3078F | 0% | 16 | 13 | $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.