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NPI 1801864350 · Baltimore, MD · Geriatric Medicine (Internal Medicine) Physician
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Brian Wallace is a geriatric medicine (internal medicine) physician provider located in Baltimore, Maryland. This profile covers 11 Medicare and 4 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 | Brian Wallace |
| Address | 9005 Kilbride Rd |
| City | Baltimore |
| State | MD |
| ZIP | 21236 |
| Taxonomy | Geriatric Medicine (Internal Medicine) Physician |
| NPI Enumerated | March 10, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $85.9K |
| Medicaid | $16.4K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 430 | $90 | $37.8K |
| 99348 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30… | 290 | $50 | $14.5K |
| 99345 | The provider sees a new patient for a home or residence visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends at least 75… | 100 | $130 | $13.2K |
| 99350 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60… | 80 | $150 | $11.2K |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review… | 60 | $40 | $2.2K |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and… | 60 | $30 | $1.9K |
| 90694 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL… | 20 | $70 | $1.2K |
| G0318 | Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary… | 50 | $30 | $1.1K |
| 99347 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves straightforward medical decision making or the provider spends at… | 30 | $30 | $990 |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 10 | $70 | $790 |
Showing 1–10 of 11
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
11 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 99350 | 91 | 200 | 60 | $130 | $24.4K |
| 99349 | 47 | 350 | 90 | $90 | $19.3K |
| 99348 | 55 | 310 | 80 | $50 | $8.6K |
| 90694 | 1,140 | 1,290 | 60 | $70 | $7.7K |
| 99497 | 809 | 850 | 50 | $70 | $6.1K |
| 99345 | 5 | 90 | 30 | $140 | $5.8K |
| G0318 | 26 | 30 | 120 | $20 | $5.7K |
| G0008 | 2,293 | 2,790 | 60 | $30 | $3.4K |
| 99347 | 85 | 130 | 50 | $30 | $2.6K |
| G0179 | 10 | 50 | 30 | $30 | $1.6K |
Showing 1–10 of 11
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 80 | $120 | $10.2K |
| 99348 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30… | 90 | $50 | $4.1K |
| 99350 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60… | 10 | $160 | $2K |
| G0008 | Administration of influenza virus vaccine | 10 | $10 | $140 |
How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maryland median
4 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99349 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least… | 26 | 40 | 170 | $40 | $27K |
| 99350 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60… | 24 | 20 | 80 | $30 | $14.6K |
| 99348 | The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves low medical decision making or the provider spends at least 30… | 21 | 40 | 110 | $20 | $5.4K |
| G0008 | Administration of influenza virus vaccine | 285 | 300 | 60 | $10 | $1.6K |
Other providers in the same ZIP code as Brian Wallace, ranked by combined Medicare and Medicaid revenue.
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