Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Wallace, Scott

Wallace, Scott was paid $174K by Medicaid between Jan 2018 and Dec 2018, across 22 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 30% of everything it billed.

33Billing provider infoWALLACE, SCOTT
RENO, NV 89502
33aNPI1922441880assigned 04/10/2013
33bProvider typePediatrics Physician
28Total paid$174K
24GClaims5,550
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers

Next to other Pediatrics Physician providers in Nevada

Rank by total paid#104 of 267
Median peer was paid$116K
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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20185,550$174K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 30% 566 535 $52K
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 16% 304 292 $28K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 409 393 $26K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 15% 254 248 $25K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 11% 902 878 $19K
90472 Immunization administration, each additional vaccine (list separately) 7.7% 651 639 $13K
90474 1.9% 317 309 $3K
99383 <1% 16 15 $2K
99382 <1% 12 12 $1K
92585 <1% 18 18 $1K
99461 <1% 14 12 $965.60
90670 <1% 477 473 $582.36
10 more codes
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 69 $470.28
90698 <1% 384 $324.14
90680 <1% 323 $134.39
90744 <1% 255 $93.68
99177 <1% 45 $5.00
90686 0% 131 $0.00
90633 0% 134 $0.00
90648 0% 55 $0.00
90685 0% 185 $0.00
90710 0% 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.