Dr. Sam Wallace, DO
341 W Pine St, Missoula, MT 59802 • +1-567-555-5964
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Missoula Percentiles
NPI #1144353707 • CBSA Regional • Family Practice
Operating out of Missoula, MT (341 W Pine St), Family Practice clinician Dr. Sam Wallace, DO (accredited MD/DO training, 2006) maintains a upper-quartile active clinical volume (66.67th Missoula percentile) (64.29th MT percentile; Z-score -0.14σ across 1,554 documented services) with sub-specialty concentration in 6 Active CMS HCPCS Codes.
Procedural volume for Dr. Wallace is led by HCPCS 99214 (Comprehensive Primary Care & Chronic Protocol Management — 653 annual services, $147–$201 GPCI cash estimate), followed by CPT 99213 (Focused Acute & Preventive Primary Care Evaluation, 482/yr) and CPT G0439 (Annual Wellness Biomarker & Preventive Screening Visit, 186/yr).
Self-pay new patient consultations with Dr. Wallace (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 14-minute average reception wait, and a 4.51/5 modern protocol openness score across 14 patient logs.
Patients evaluating Dr. Sam Wallace in ZIP 59802 note 20 years of post-doctoral tenure (null, 2006) alongside 18.7 annual CMS procedures per patient.
Compared against Missoula, MT Family Practice peers
1,554 annual services across 83 beneficiaries
Standard deviations from MT Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 653 | 66.67th | $147 – $201 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 482 | 68.67th | $112 – $154 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 186 | 67.67th | $169 – $231 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 140 | 67.67th | $32 – $47 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 93 | 67.67th | $202 – $277 |
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Dr. Sam Wallace, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Wallace National Provider Identifier | NPI #1144353707 (DO) | CMS NPPES Registry (59802) |
| Dr. Wallace Missoula CMS Volume Rank | 66.67th Pct (1,554 CMS svcs; Z -0.145σ) | CMS Medicare Part B (MT Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Missoula, MT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.51/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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