PATRICIA WALLACE, MD

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · MISSION VIEJO, CA

Individual Active NPI 1629162995

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20245089,576$443,078$249,817$183,316
20234795,102$346,536$214,682$163,425
20224324,313$305,227$187,274$140,784

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
J2919Injection, methylprednisolone sodium succinate, 5 mg3,690$0$0
J0585Injection, onabotulinumtoxina, 1 unit2,100$6$5
J1644Injection, heparin sodium, per 1000 units1,158$0$0
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more861$92$65
64566Insertion of lower leg neurostimulator electrode297$123$92
51700Simple bladder irrigation and/or instillation235$78$59
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more204$129$91
57160Fitting and insertion of vaginal support device162$73$55
J0696Injection, ceftriaxone sodium, per 250 mg160$0$0
81002Urinalysis, manual test144$3$3
J1580Injection, garamycin, gentamicin, up to 80 mg126$2$2
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more58$167$120

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician207VF0040XA73003CA
Specialist174400000XA73003CA

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.