THOMAS WALLACE, MD
Family Medicine Physician · WILLIAMSPORT, PA
Individual Active NPI 1306882725
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 611 | 10,102 | $697,499 | $534,287 | $408,654 |
| 2023 | 714 | 13,331 | $922,696 | $715,463 | $551,968 |
| 2022 | 502 | 5,820 | $405,125 | $316,983 | $250,809 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 3,300 | $25 | $20 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 817 | $121 | $77 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 731 | $45 | $32 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 724 | $59 | $41 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 586 | $16 | $11 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 518 | $86 | $53 |
| 36415 | Insertion of needle into vein for collection of blood sample | 428 | $9 | $9 |
| 99489 | Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 413 | $68 | $54 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 391 | $122 | $122 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 309 | $1 | $1 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 157 | $171 | $120 |
| 96372 | Injection of drug or substance under skin or into muscle | 137 | $13 | $9 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | MD045078L | PA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Family Medicine Physician providers in Pennsylvania →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.