npidexNPI registry + Medicare data

THOMAS WALLACE, M.D.

Critical Care Medicine (Internal Medicine) Physician · MODESTO, CA

Individual Active NPI 1679641666

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20241,6575,155$1,220,530$595,037$453,232
20232,2097,334$1,658,567$825,577$639,480
20221,7315,397$1,085,450$562,200$440,678

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1,925$116$90
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,208$77$60
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes856$170$124
99239Hospital discharge day management, more than 30 minutes718$113$88
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes135$128$86
99238Hospital discharge day management, 30 minutes or less118$81$61
99291Critical care, first 30-74 minutes65$204$163
99497Advance care planning, first 30 minutes44$75$59
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th21$30$24

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Critical Care Medicine (Internal Medicine) Physician207RC0200X✓G42269CA

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.