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

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

Matthew Wallace (NPI 1356329114)

Field	Value
Entity Type	Individual
Organization	Matthew Wallace
Address	212 E Central Ave Ste 140
City	Spokane
State	WA
ZIP	99208
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	January 3, 2006

Payer Source	Total Paid
Medicare	$134.4K
Medicaid	$0

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
23472	In this procedure, the provider performs a total shoulder arthroplasty in which the provider replaces the damaged head of the humerus and the glenoid cavity with prosthetic implants. The provider…	40	$1,090	$39.2K
27447	In this procedure, the provider replaces the damaged weight bearing surfaces of both the medial and lateral compartments in the knee joint using implants of metal or other strong materials. The…	20	$930	$21.3K
29827	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair a torn rotator cuff, the grouping of muscles and tendons that surround and…	30	$840	$20.9K
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…	150	$60	$9.2K
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…	100	$90	$8.6K
20610	In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa and then uses the syringe attachment to the needle to remove fluid or he may inject a…	140	$50	$6.5K
29828	The provider examines the tissue inside the shoulder joint with an arthroscope. She inserts additional instruments to repair an unstable biceps tendon, the fibrous band that connects the biceps…	10	$380	$5.3K
J7323	Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose	40	$100	$4K
29826	The provider examines the tissue inside the shoulder joint with an arthroscope. He inserts additional instruments and repairs the shoulder blade and coracoacromial ligament to alleviate shoulder…	30	$130	$3.8K
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…	30	$120	$3.4K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Matthew Wallace — 0 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
27447	197	320	30	$1,190	$46.3K
29828	15	30	20	$1,240	$28.4K
29827	22	90	20	$1,130	$26.1K
23472	19	100	20	$770	$20.8K
99214	5,386	10,860	100	$80	$13.6K
J7323	43	50	70	$100	$9.6K
29823	5	40	20	$350	$6.7K
99213	2,104	9,690	60	$60	$6.5K
99204	2,472	4,750	30	$110	$5.2K
20610	112	790	50	$50	$3.3K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northwest Orthopaedic Specialists, P.s.	WA	Ambulatory Surgical Clinic/Center	$4.1M	$252.1K
Alexander Reichard	WA	Adult Reconstructive Orthopaedic Surgery Physician	$199K	$0
Tiffany Forquer	WA	Physician Assistant	$195K	$0
Brett Mulawka	WA	Orthopaedic Surgery Physician	$155.9K	$0
Anthony Sestero	WA	Orthopaedic Hand Surgery Physician	$129.7K	$0
Michael Kody	WA	Orthopaedic Surgery Physician	$127.9K	$0
David Baca	WA	Medical Physician Assistant	$110.2K	$0
John Shuster	WA	Orthopaedic Surgery of the Spine Physician	$101.4K	$0
Paul Horn	WA	Orthopaedic Hand Surgery Physician	$94K	$0
Patrick Soto	WA	Physical Medicine & Rehabilitation Physician	$92.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
American Behavioral Health Systems, Inc.	WA	Substance Abuse Rehabilitation Facility	$0	$60.5M
Providence Health & Services - Washington	WA	General Acute Care Hospital	$0	$43.2M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$22.5M
Excelsior Wellness	WA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.8M
Center For Pediatric Therapy	WA	Physical Therapy Clinic/Center	$0	$9M
Emergency Physician Services Ps Holy Emergency Center	WA	Emergency Medicine Physician	$0	$8.2M
Patrick Bradley, Dds, PLLC	WA	Dental Clinic/Center	$0	$5.7M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$5.5M
Ortc, LLC	WA	Methadone Clinic	$0	$3.4M
Arvind Chaudhry	WA	Hematology & Oncology Physician	$2.9M	$0

Matthew Wallace — Billing Profile & Reimbursement Data

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Matthew 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