Dr. Thomas Wallace, MD
1441 Florida Ave, Modesto, CA 95350 • +1-691-555-5589
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Modesto Percentiles
NPI #1679641666 • CBSA Regional • Internal Medicine
Within the Modesto, CA (CBSA local) Internal Medicine cohort, Dr. Thomas Wallace, MD with sub-specialty concentration in 22 Active CMS HCPCS Codes ranks at the 94.29th municipal percentile and 86.09th CA percentile (+0.02σ Z-score) based on 5,155 billed procedures for 1,657 patients.
Fee-schedule auditing of NPI 1679641666 highlights 2320 annual claims for 99214 (94.29th Modesto percentile; $204–$280 self-pay corridor) plus 1340 encounters under 99213 and 670 under 93000.
For out-of-network patients contacting +1-691-555-5589, Dr. Wallace's practice posts a $239.00 GPCI self-pay consult estimate ($239.00 patient-logged median, 4.68/5 composite reality score over 11 submissions).
NPI registry verification (#1679641666) confirms Dr. Thomas Wallace's MD standing serving CBSA 95350 with a 4.68/5 patient scorecard.
Top 10% Internal Medicine volume leader in Modesto, CA
5,155 annual services across 1,657 beneficiaries
Standard deviations from CA Internal Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 2,320 | 94.29th | $204 – $280 |
| 99213 | Established Preventive & Chronic Care Visit | 1,340 | 96.29th | $156 – $214 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 670 | 99.29th | $75 – $102 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 516 | 94.29th | $240 – $329 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 309 | 95.29th | $284 – $390 |
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Dr. Thomas Wallace, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Wallace National Provider Identifier | NPI #1679641666 (MD) | CMS NPPES Registry (95350) |
| Dr. Wallace Modesto CMS Volume Rank | 94.29th Pct (5,155 CMS svcs; Z +0.023σ) | CMS Medicare Part B (CA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Modesto, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 15 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.67/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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