Dr. Derrick Wallace, MD
187 Washington Ave, Suite 2i, Nutley, NJ 07110 • +1-825-555-6421
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & Nutley Percentiles
NPI #1114900362 • CBSA Regional • Otolaryngology
Anchored in Nutley, NJ 07110, Dr. Derrick Wallace, MD (NPI 1114900362) logged 1,022 annual procedures (focused low-volume boutique caseload (0th Nutley percentile), 16.58th NJ percentile, -0.72σ) with sub-specialty concentration in 53 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1114900362 highlights 347 annual claims for 99213 (12th Nutley percentile; $134–$183 self-pay corridor) plus 256 encounters under 31231 and 194 under 31575.
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, 19-minute average reception wait, and a 4.93/5 modern protocol openness score across 25 patient logs.
Credentialed as an MD specialist with 24 years post-graduation experience since completing medical school at an LCME/COCA institution (2002), Dr. Wallace coordinates 53 Active CMS HCPCS Codes workups from 187 Washington Ave, Suite 2i (+1-825-555-6421).
Compared against Nutley, NJ Otolaryngology peers
1,022 annual services across 528 beneficiaries
Standard deviations from NJ Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 347 | 12th | $134 – $183 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 256 | 12th | $269 – $368 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 194 | 12th | $196 – $269 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 133 | 12th | $94 – $129 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 92 | 12th | $84 – $115 |
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Dr. Derrick Wallace, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Wallace National Provider Identifier | NPI #1114900362 (MD) | CMS NPPES Registry (07110) |
| Dr. Wallace Nutley CMS Volume Rank | 0.00th Pct (1,022 CMS svcs; Z -0.717σ) | CMS Medicare Part B (NJ Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Nutley, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.93/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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