Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Alabama (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Joseph Wallace (NPI 1104850957)

Field	Value
Entity Type	Individual
Organization	Joseph Wallace
Address	1031 Fairfax Park
City	Tuscaloosa
State	AL
ZIP	35406
Taxonomy	Surgery Physician
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicare	$26K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
11043	The provider uses surgical instruments to remove the dead tissue in muscle and/or fascia, including any debridement of the epidermis, dermis, and subcutaneous tissue, for the first or only 20 cm2 or…	90	$110	$10.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	70	$70	$4.6K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	50	$90	$4K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	20	$130	$3K
19083	Under ultrasound guidance, the provider takes breast tissue percutaneously from a single lesion for biopsy. He may place a localization device at the same time.	20	$120	$2.2K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	50	$40	$1.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Joseph Wallace — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	5,563	7,330	120	$80	$16.8K
11043	8	30	60	$130	$16.8K
11042	103	140	80	$50	$7.9K
99213	3,318	6,470	80	$50	$7.9K
99204	2,288	3,750	30	$100	$4.8K
19083	16	40	20	$150	$2.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Joseph Wallace, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dmitriy Zak	AR	Hematology & Oncology Physician	$2.2M	$0
Tombigbee Healthcare Authority	AL	Rural Health Clinic/Center	$0	$1.7M
Tombigbee Healthcare Authority	AL	General Acute Care Hospital	$0	$1.5M
Tombigbee Healthcare Authority	AL	Specialist	$0	$1.3M
Sherly Pardo-reoyo	NY	Radiation Oncology Physician	$356.6K	$0
Douglas Tucker	MS	Anesthesiology Physician	$352K	$0
James Proctor	AL	Interventional Cardiology Physician	$340.8K	$0
Michael Cappelli	AL	Radiation Oncology Physician	$291.6K	$0
Macy Smith	AL	Clinical Cardiac Electrophysiology Physician	$282.7K	$0
Mohamed Hassan	AL	Internal Medicine Physician	$264.3K	$0

Nearby Providers

Other providers in the same ZIP code as Joseph Wallace, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children And Teen Dental Group Of Alabama	AL	Pediatric Dentistry	$0	$6.4M
Capstone Kids LLC	AL	Pediatric Dentistry	$0	$3.5M
Children And Teen Dental Group Of Alabama	AL	Pediatric Dentistry	$0	$2.8M
Southern Surgical Associates LLC	AL	Surgery Physician	$0	$2M
Tuscaloosa Pediatrics	AL	Pediatrics Physician	$0	$1.5M
First Kids	AL	Family Medicine Physician	$0	$1.4M
Tuscaloosa Ear Nose & Throat Center PC	AL	Otolaryngology Physician	$0	$1.2M
Bruce A Petitt M.d. P.C.	AL	Pediatrics Physician	$0	$938.2K
Tuscaloosa Nephrology Associates PC	AL	Nephrology Physician	$0	$936.6K
George Hemstreet	AL	Interventional Cardiology Physician	$935.1K	$0

Joseph Wallace — Billing Profile & Reimbursement Data

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Joseph Wallace — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References