JAMES WALLACE, M.D.
Internal Medicine Physician · DILLON, SC
Individual Active NPI 1265695126
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 328 | 2,867 | $331,930 | $154,959 | $118,260 |
| 2023 | 413 | 3,149 | $351,529 | $172,536 | $128,750 |
| 2022 | 441 | 2,681 | $339,361 | $154,452 | $120,362 |
Top procedures (2024)
| 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 | 361 | $118 | $84 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 187 | $74 | $57 |
| 36415 | Insertion of needle into vein for collection of blood sample | 170 | $9 | $9 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 167 | $8 | $8 |
| 80053 | Blood test, comprehensive group of blood chemicals | 153 | $10 | $10 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 129 | $13 | $13 |
| 99239 | Hospital discharge day management, more than 30 minutes | 119 | $107 | $83 |
| 81002 | Urinalysis, manual test | 106 | $3 | $3 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 101 | $161 | $121 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 88 | $59 | $42 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 69 | $52 | $36 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 63 | $111 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ✓ | 30917 | SC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Internal Medicine Physician providers in South Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.