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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Erin Wallace (NPI 1649272378)

Field	Value
Entity Type	Individual
Organization	Erin Wallace
Address	651 Colliers Way Ste 201
City	Weirton
State	WV
ZIP	26062
Taxonomy	Medical Physician Assistant
NPI Enumerated	August 12, 2005

Payer Source	Total Paid
Medicare	$13.6K
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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	50	$100	$5K
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…	80	$50	$4K
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…	30	$70	$1.9K
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	40	$30	$1.2K
G0444	Annual depression screening, 5 to 15 minutes	60	$10	$900
95972	A physician or other qualified healthcare professional performs electronic analysis of a variety of parameters of a previously implanted spinal or peripheral (e.g., sacral) nerve neurostimulator…	20	$40	$580

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. West Virginia Distribution

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

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,300	2,740	100	$70	$11.8K
G0439	321	560	60	$120	$9.3K
99213	1,501	2,860	80	$50	$7.5K
G0101	42	90	30	$30	$1.3K
G0444	34	100	40	$10	$910
95972	1	10	20	$30	$480

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wmc Physician Practices LLC	PA	Internal Medicine Physician	$0	$7.6M
John Cherian	PA	Cardiovascular Disease Physician	$320.7K	$0
Atul Shetty	WV	Internal Medicine Physician	$290.2K	$0
Cherian John	PA	Internal Medicine Physician	$276.9K	$0
Hardev Parihar	WV	Urology Physician	$208.4K	$0
Saieed Saieed	WV	Internal Medicine Physician	$184.1K	$0
Krzysztof Kubicki	WV	Internal Medicine Physician	$179.9K	$0
Amar Khurana	WV	Internal Medicine Physician	$136.9K	$0
Christopher Cowher	WV	Internal Medicine Physician	$135.1K	$0
Daniel Jovanovich	WV	Cardiovascular Disease Physician	$132.9K	$420

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Healthways Inc	WV	Community/Behavioral Health Agency	$0	$40.8M
Weirton Medical Center, Inc	WV	General Acute Care Hospital	$0	$27.7M
Change, Incorporated	WV	Federally Qualified Health Center (FQHC)	$0	$21.2M
Healthways Inc	WV	Community/Behavioral Health Agency	$0	$3M
First Steps Pediatrics & Adolescent Medicine PLLC	WV	Pediatrics Physician	$0	$2.5M
Hancock County Sheltered Workshop Inc.	WV	Community/Behavioral Health Agency	$0	$2.1M
Health Care Solutions At Home Inc.	WV	Durable Medical Equipment & Medical Supplies	$0	$1.8M
Family Connections	WV	Mental Health Counselor	$0	$818.8K
Tri State Medical	WV	Oxygen Equipment & Supplies (DME)	$0	$816K
Christopher Kolibash	WV	Clinical Cardiac Electrophysiology Physician	$425.8K	$48K

Erin Wallace — Billing Profile & Reimbursement Data

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Erin 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