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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Haily Wallace (NPI 1679839534)

Field	Value
Entity Type	Individual
Organization	Haily Wallace
Address	402 E Miel De Luna Ave
City	Tucumcari
State	NM
ZIP	88401
Taxonomy	Family Medicine Physician
NPI Enumerated	April 5, 2012

Payer Source	Total Paid
Medicare	$6.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
87428	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…	30	$50	$1.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$60	$1.4K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	130	$10	$1.3K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	20	$60	$1.1K
82962	Blood glucose monitoring at home with small electronic devices is an easy method to check blood sugar level on a daily basis. The patient himself can perform the procedure and the result is obtained…	140	$1	$410
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	10	$40	$390
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	90	$1	$270
82044	Office or lab personnel will usually perform a semiquantitative urine albumin or microalbumin by using a reagent strip that is able to detect the analyte without the use of a chemistry analyzer or…	40	$10	$220
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	50	$1	$180

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Mexico Distribution

Haily Wallace — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	668	830	60	$60	$7.3K
99238	100	190	20	$60	$2K
87426	97	100	30	$30	$1.9K
87428	11	40	20	$50	$1.8K
83036	38	310	40	$10	$1.2K
82044	6	20	30	$10	$220
82962	5	60	40	$1	$210
81002	32	210	30	$1	$210
93005	2	10	30	$1	$120

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunrise Clinics	NM	Federally Qualified Health Center (FQHC)	$0	$10.6M
Sunrise Medical Group, PC	NM	Primary Care Clinic/Center	$0	$2M
Linda Sims	NM	Family Nurse Practitioner	$61.8K	$0
Kari Allen	NM	Acute Care Nurse Practitioner	$25.6K	$0
Mary Kenyon	NM	Family Nurse Practitioner	$25.3K	$0
Timothy Overton	NM	Family Medicine Physician	$4.3K	$0
Antje Postl	NM	Family Nurse Practitioner	$3K	$0
James Gonzales	NM	Family Medicine Physician	$1.1K	$0
Senora Campos	NM	Family Nurse Practitioner	$1K	$0
Jennifer Fryman	WY	Family Nurse Practitioner	$420	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Presbyterian Healthcare Services	NM	Critical Access Hospital	$0	$8.5M
Professional Counseling Associates Of New Mexico	NM	Community/Behavioral Health Agency	$0	$2.3M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$1.4M
City Of Tucumcari	NM	Land Ambulance	$150.1K	$531.1K
Enrique Bursztyn	NM	Diagnostic Radiology Physician	$105.1K	$0
Craig Lance	NM	Diagnostic Radiology Physician	$64.2K	$0

Haily Wallace — Billing Profile & Reimbursement Data

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Haily 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