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 Colorado for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Colorado 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. Colorado (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.

Stephen Wallace (NPI 1205222502)

Field	Value
Entity Type	Individual
Organization	Stephen Wallace
Address	3055 Roslyn St Unit 200
City	Denver
State	CO
ZIP	80238
Taxonomy	Orthopaedic Foot and Ankle Surgery Physician
NPI Enumerated	April 13, 2015

Payer Source	Total Paid
Medicare	$48.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	200	$70	$13.1K
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…	130	$90	$11.7K
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…	100	$110	$11.4K
73630	In this diagnostic procedure, the provider takes a minimum of three views of the foot to assess injury, fracture, arthritis, tumor, or congenital abnormality.	250	$30	$6.3K
73610	In this procedure, the provider takes three or more X–ray images of the ankle joint to check for any fracture, swelling, or reason for pain in the ankle area.	190	$30	$4.7K
20605	In this procedure, the provider inserts a needle through the skin of a patient and into an intermediate joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may…	10	$40	$560
73590	In this procedure, the provider takes two X–ray views of the tibia and fibula bones to check for any fracture, swelling, or reason for pain in the lower leg area.	20	$20	$550
J1040	Injection, methylprednisolone acetate, 80 mg	30	$10	$230

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Stephen Wallace — 2 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,825	8,160	80	$80	$11.3K
99213	1,140	7,200	70	$60	$6.6K
99204	245	3,670	30	$110	$4.7K
73630	24	540	50	$20	$1.5K
20605	74	80	20	$40	$1.1K
73610	5	390	30	$20	$680
J1040	54	80	40	$10	$590
73590	62	190	20	$10	$160

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yousef Kayyas	TX	Pulmonary Disease Physician	$826.3K	$2.2M
Ann Snyder	TX	Family Medicine Physician	$283.8K	$0
Adam Wright	TX	Orthopaedic Surgery Physician	$266.5K	$0
J Richard Evanson	TX	Orthopaedic Surgery Physician	$233.6K	$0
Randal Troop	TX	Specialist	$200.9K	$0
Michael Howard	TX	Orthopaedic Hand Surgery Physician	$190.4K	$0
Anthony Nebor	TX	Pulmonary Disease Physician	$179.1K	$0
Vikas Jain	TX	Sleep Medicine (Psychiatry & Neurology) Physician	$136.3K	$3.6K
Earl Lund	TX	Orthopaedic Hand Surgery Physician	$105.2K	$0
Salim Jabbour	TX	Colon & Rectal Surgery Physician	$84.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Autism Behavioral Ventures LLC	CO	Behavior Analyst	$0	$3.7M
James Robinson	OR	Pediatric Dentistry	$0	$1.4M
Zachary Fausel	CO	Physical Medicine & Rehabilitation Physician	$178.1K	$0
Cher, LLC	CO	Diagnostic Radiology Physician	$56.8K	$88.4K
Ana Miller	CO	Occupational Therapist	$122.2K	$0
Brian Fuller	CO	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$90.7K	$0
Kathryn Scott	CO	Urology Physician	$76.8K	$0
Garrett Moore	CO	Primary Podiatric Medicine Podiatrist	$56.7K	$0
Andrew Benson	CO	Optometrist	$52.6K	$0
Samantha Holden	CO	Neurology Physician	$38.6K	$0

Stephen Wallace — Billing Profile & Reimbursement Data

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Stephen 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