SHANNON WALLACE, M.D.

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · CLEVELAND, OH

Individual Active NPI 1205102092

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	122	292	$435,435	$56,693	$43,727
2023	149	383	$481,319	$61,955	$47,506
2022	147	275	$256,141	$40,604	$29,548

HCPCS	Description	Services	Avg allowed	Avg paid
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	$99	$76
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	$137	$99
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	$172	$121
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	$137	$105
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	12	$70	$56

Specialty	Code	Primary	License	State
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	207VF0040X	✓	A149644	CA

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.