NP / PA
Wallace, Shelby
Wallace, Shelby was paid $2K by Medicaid between Oct 2024 and Oct 2024, across 1 billing code. Its largest line is 00170, Anesthesia for intraoral procedures, including biopsy — 100% of everything it billed.
33Billing provider infoWALLACE, SHELBY
PEORIA, IL 61615
PEORIA, IL 61615
33aNPI1982267696assigned 04/18/2019
33bProvider typeCertified Registered Nurse Anesthetist
28Total paid$2K
24GClaims12
24DCodes billed1
24AFirst – last monthOct 2024 – Oct 2024
Compared with peers
Next to other Certified Registered Nurse Anesthetist providers in Illinois
Rank by total paid#95 of 121
Median peer was paid$8K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2024incomplete | 12 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00170 | Anesthesia for intraoral procedures, including biopsy | 100% | 12 | 12 | $2K |
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.