npidexNPI registry + Medicare data

SUMER WALLACE, MD

Gynecologic Oncology Physician · MADISON, WI

Individual Active NPI 1407168602

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024113313$372,055$45,341$35,363
2023145370$429,019$57,748$45,737
2022129330$429,370$54,285$42,834

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more48$90$64
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more32$61$44
G2211Visit 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's29$15$12
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more23$133$106
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more14$64$51
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more13$167$133
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more11$123$98

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Gynecologic Oncology Physician207VX0201X✓67150WI

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.