SETH WALLACE, M.D.
Sleep Medicine (Family Medicine) Physician · LOGAN, UT
Individual Active NPI 1245441971
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 325 | 447 | $104,675 | $39,679 | $27,999 |
| 2023 | 301 | 423 | $87,784 | $40,348 | $29,988 |
| 2022 | 302 | 421 | $74,190 | $40,619 | $28,663 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 100 | $115 | $81 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 93 | $120 | $81 |
| 95806 | Sleep study including heart rate, breathing, airflow, and effort | 92 | $41 | $27 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 48 | $86 | $61 |
| 95810 | Sleep study in sleep lab (6 years or older) | 33 | $109 | $87 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 19 | $51 | $39 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 16 | $151 | $113 |
| 95976 | Electronic analysis of neurostimulator generator with simple cranial nerve stimulator programming | 12 | $35 | $23 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | ✓ | 6201987-1205 | UT |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.