JACOB WALLACE, M.D.
Diagnostic Radiology Physician · SALINA, KS
Individual Active NPI 1871974527
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 5,299 | 8,979 | $1,099,068 | $301,549 | $235,169 |
| 2023 | 4,746 | 7,742 | $913,415 | $258,684 | $198,094 |
| 2022 | 4,878 | 7,938 | $956,088 | $274,838 | $204,191 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 776 | $8 | $6 |
| 77067 | Screening mammography | 770 | $33 | $33 |
| 77063 | Screening 3d breast mammography | 769 | $26 | $26 |
| 71046 | X-ray of chest, 2 views | 611 | $10 | $7 |
| 70450 | Ct scan head or brain without contrast | 400 | $36 | $27 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 332 | $80 | $58 |
| 71260 | Ct scan of chest with contrast | 223 | $50 | $37 |
| 73502 | X-ray of hip, 2-3 views | 220 | $10 | $7 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 214 | $9 | $9 |
| 73630 | X-ray of foot, minimum of 3 views | 201 | $8 | $6 |
| 72125 | Ct scan of upper spine without contrast | 186 | $43 | $32 |
| 71250 | Ct scan of chest without contrast | 185 | $47 | $35 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | ✓ | 04-44613 | KS |
| Internal Medicine Physician | 207R00000X | 94-08609 | KS |
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.