Dr. Jerald Wallace, MD
800 Rose St, C246, Lexington, KY 40536 • +1-305-555-1662
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Lexington Percentiles
NPI #1730591017 • CBSA Regional • General Surgery
Dr. Jerald Wallace, MD (NPI #1730591017) practices General Surgery in Lexington, KY (40536) with sub-specialty concentration in 70 Active CMS HCPCS Codes, recording 780 annual CMS services across 145 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (16.67th Lexington percentile) (-0.36σ vs KY state mean, 38.98th statewide percentile).
Procedural volume for Dr. Wallace is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 351 annual services, $194–$266 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 203/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 101/yr).
Uninsured and high-deductible cash patients visiting Dr. Jerald Wallace in Lexington (40536) face an estimated $209.00 initial evaluation fee at 800 Rose St, C246 (hybrid in-clinic and telehealth video consults; 19-minute average reception wait; bedside manner 4.77/5 from 13 verified reports).
Patients evaluating Dr. Jerald Wallace in ZIP 40536 note 21 years of post-doctoral tenure (null, 2005) alongside 5.4 annual CMS procedures per patient.
Compared against Lexington, KY General Surgery peers
780 annual services across 145 beneficiaries
Standard deviations from KY General Surgery 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 | 351 | 16.67th | $194 – $266 |
| 99213 | Established Preventive & Chronic Care Visit | 203 | 14.67th | $148 – $203 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 101 | 19.67th | $71 – $97 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 78 | 18.67th | $228 – $312 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 47 | 16.67th | $270 – $370 |
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Dr. Jerald Wallace, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Wallace National Provider Identifier | NPI #1730591017 (MD) | CMS NPPES Registry (40536) |
| Dr. Wallace Lexington CMS Volume Rank | 16.67th Pct (780 CMS svcs; Z -0.365σ) | CMS Medicare Part B (KY General Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lexington, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.65/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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