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NPI 1740626654 · Saint Louis, MO · Diagnostic Radiology Physician
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Andrew Wallace is a diagnostic radiology physician provider located in Saint Louis, Missouri. This profile covers 61 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Andrew Wallace |
| Address | 510 S Kingshighway Blvd |
| City | Saint Louis |
| State | MO |
| ZIP | 63110 |
| Taxonomy | Diagnostic Radiology Physician |
| NPI Enumerated | May 18, 2013 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $215.7K |
| Medicaid | $45.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
61 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 390 | $80 | $29.4K |
| 71250 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material. | 470 | $50 | $24K |
| 74183 | The provider performs magnetic resonance imaging of the structures and organs of the abdomen, initially without control and then with additional sequences after injection of contrast. | 150 | $110 | $16.2K |
| 71260 | In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax using contrast material. | 300 | $50 | $13.7K |
| 71275 | In this procedure, the provider performs a computed tomographic angiography, or CTA imaging of the chest to get detailed images of the blood vessels but not the heart. He performs this study using a… | 200 | $70 | $13.7K |
| 78815 | PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.… | 120 | $90 | $10.7K |
| 74176 | The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 150 | $70 | $10.1K |
| 75574 | The provider uses computed tomography (CT) with instillation of contrast to examine any defect or abnormality in the heart or coronary artery or any abnormality due to an already present bypass… | 120 | $80 | $10K |
| 74178 | The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional… | 60 | $110 | $6.5K |
| 71271 | The provider performs a low–dose computed tomography (LDCT), with low–dose ionizing radiation, for examination of the thorax without using contrast material to screen for lung cancer. | 90 | $80 | $6.5K |
Showing 1–10 of 61
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 61 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
61 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 78815 | 38 | 160 | 50 | $150 | $15.4K |
| 74177 | 31 | 560 | 130 | $70 | $11.4K |
| 70450 | 244 | 490 | 190 | $30 | $7.5K |
| 74183 | 21 | 160 | 40 | $90 | $6.8K |
| 74176 | 113 | 530 | 70 | $60 | $6.3K |
| 72197 | 94 | 110 | 40 | $110 | $5.6K |
| 71275 | 28 | 470 | 60 | $60 | $5.2K |
| 71250 | 6 | 510 | 80 | $40 | $4.6K |
| 71260 | 24 | 490 | 70 | $40 | $4.3K |
| 71045 | 130 | 560 | 390 | $10 | $3.7K |
Showing 1–10 of 61
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 71045 | In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby… | 1,850 | $10 | $18.5K |
| 76506 | The provider performs a noninvasive diagnostic imaging technique, called echoencephalography, that uses ultrasound waves to examine, measure, and record the structures within the skull in real–time,… | 180 | $40 | $6.2K |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 400 | $20 | $6K |
| 74018 | Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems. | 480 | $10 | $4.3K |
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 40 | $80 | $3.2K |
| 76700 | An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code… | 60 | $40 | $2.3K |
| 76770 | A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is… | 50 | $40 | $2.3K |
| 76705 | An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code… | 40 | $30 | $1.2K |
| 74019 | Report this code for two X–ray views of the structures and organs in the abdomen to diagnose certain abdominal problems. | 50 | $20 | $1.1K |
| 73090 | In this procedure, the provider takes two X–ray views of a patient’s forearm to check for any fracture, swelling, or reason of pain in the forearm area. | 40 | $10 | $380 |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Missouri providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Missouri median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 74177 | The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs. | 169 | 240 | 140 | $60 | $80.2K |
| 71045 | In this diagnostic procedure, the provider performs a single radiological view of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and nearby… | 124 | 420 | 660 | $10 | $51.7K |
| 71046 | In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and… | 211 | 530 | 250 | $20 | $33.7K |
| 72082 | In this diagnostic procedure, the provider takes X–ray images from two or three projections (directions or angles) of the entire thoracic (upper and middle) and lumbar (lower) spine to evaluate the… | 30 | 30 | 70 | $80 | $32.9K |
| 76770 | A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is… | 48 | 80 | 80 | $60 | $28.3K |
| 76506 | The provider performs a noninvasive diagnostic imaging technique, called echoencephalography, that uses ultrasound waves to examine, measure, and record the structures within the skull in real–time,… | 12 | 30 | 150 | $40 | $14K |
| 74018 | Report this code for one X–ray view of the structures and organs in the abdomen to diagnose certain abdominal problems. | 62 | 200 | 180 | $10 | $11.6K |
| 76705 | An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code… | 72 | 110 | 80 | $20 | $11.2K |
| 76700 | An abdominal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e. liver, gallbladder, pancreas, bile ducts, spleen, and abdominal aorta). This particular code… | 25 | 40 | 80 | $40 | $8.8K |
| 73090 | In this procedure, the provider takes two X–ray views of a patient’s forearm to check for any fracture, swelling, or reason of pain in the forearm area. | 28 | 50 | 70 | $20 | $6.2K |
Showing 1–10 of 12
Other providers in the same ZIP code as Andrew Wallace, ranked by combined Medicare and Medicaid revenue.
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