npidexNPI registry + Medicare data

AMANDA WALLACE, PA-C

Surgical Physician Assistant · GAINESVILLE, GA

Individual Active NPI 1518249838

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20241872,152$219,521$52,655$39,508
20232082,119$284,083$70,356$53,389
20221972,155$282,112$62,507$47,372

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
J1010Injection, methylprednisolone acetate, 1 mg700$0$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg188$7$5
20610Aspiration and/or injection of fluid from large joint154$58$41
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more114$100$78
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more74$70$52
J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose74$123$95
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more28$133$102

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Surgical Physician Assistant363AS0400X✓6247GA
Physician Assistant363A00000X6247GA
Medical Physician Assistant363AM0700X6247GA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

Other Surgical Physician Assistant providers in Georgia

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