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WALLACE-WILDING, KELLIEMD NPI 1063518629 Clinician

Family Practice · JACKSON, TN

Specialty Family Practice — from billed Medicare claims
In practice about 21 years since medical school (class of 2005, self-reported to CMS)
Location JACKSON, TN · NPPES registered location
Active in data Billed Medicare 2020–2024 (5 consecutive years)
Scale 63 codes billed · 13,464 disclosed services (CY2024 — most recent year in data)
Current groups

Group affiliation since 2019

20192026
JACKSON CLINIC PA
2019–2026

The roster archive begins in 2019, so a span starting at 2019 may reach back further. Membership spans only — no volume is attributed to any group here.

NPPES registry · CMS Doctors & Clinicians registry · Medicare Part B physician/supplier claims · NPPES record last updated 2012-11

Year: 2024 · 2023 · 2022  · 2021  · 2020 

Provider overview · all codes · CY2024

The full analytics for this provider

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The billed-volume positioning, practice focus, and economics behind this provider — computed on the same disclosed Medicare Part B data.

This provider's disclosed Medicare payments across all codes were in CY2024. Included with Platform.

  • Payment, service & beneficiary totals — the disclosed scale, all codes
  • Practice profile — focus & reach — top codes by share of services
  • Office vs. facility setting mix — place-of-service code split
  • Volume over five years — discrete yearly counts, no rate
  • Peer positioning — service volume — percentile among specialty peers, cohort & year disclosed
  • Peer positioning — code breadth — how many codes billed, vs peers

Peer positioning shows billed-volume and code-breadth positions among specialty peers, not measures of care (a provider's true volume position can only be higher, never lower). All figures disclosed Medicare Part B fee-for-service; volumes are personal to this NPI, not attributed to any group.

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Procedures billed to Medicare Part B (2024)

Medicare Part B FFS · CY2024 · as published by CMS
CodeDescription Services Beneficiary-episodes Avg charge Avg Medicare payment
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
J0897 Injection, denosumab, 1 mg
36415 Insertion of needle into vein for collection of blood sample
80053 Blood test, comprehensive group of blood chemicals
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
80061 Blood test, lipids (cholesterol and triglycerides)
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
83036 Hemoglobin a1c level
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
82043 Urine microalbumin (protein) level
82570 Creatinine level to test for kidney function or muscle injury
84443 Blood test, thyroid stimulating hormone (tsh)
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
84439 Thyroxine (thyroid chemical), free
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
G0444 Annual depression screening, 5 to 15 minutes
77063 Screening 3d breast mammography
77067 Screening mammography
96372 Injection of drug or substance under skin or into muscle
G0008 Administration of influenza virus vaccine
90662 Influenza vaccine split virus, preservative free
77080 Dxa bone density measurement of hip, pelvis, spine
81001 Manual urinalysis test with examination using microscope, automated
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
82607 Cyanocobalamin (vitamin b-12) level
71046 X-ray of chest, 2 views
83880 Natriuretic peptide (heart and blood vessel protein) level
81003 Automated urinalysis test
J1100 Injection, dexamethasone sodium phosphate, 1 mg
85610 Blood test, clotting time
82306 Vitamin d-3 level
J0696 Injection, ceftriaxone sodium, per 250 mg
83970 Parathormone (parathyroid hormone) level
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 review of reports of patient status required by physicians a
87804 Detection test by immunoassay with direct visual observation for influenza virus
85379 Coagulation function measurement, d-dimer; quantitative
84484 Troponin (protein) analysis, quantitative
87088 Bacterial urine culture
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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 of reports of patient status required by physicians and
83540 Iron level
83550 Iron binding capacity
84550 Uric acid level, blood
85652 Red blood cell sedimentation rate, to detect inflammation, automated
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
87077 Bacterial culture for aerobic isolates
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution
99496 Transitional care management services for problem of high complexity
76536 Ultrasound scan of head and neck soft tissue
82553 Creatine kinase (cardiac enzyme) level, mb fraction only
G0103 Prostate cancer screening; prostate specific antigen test (psa)
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
77065 Diagnostic mammography of 1 breast
73560 X-ray of knee, 1-2 views
86308 Screening test for mononucleosis (mono)
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)
71271 Low dose ct scan of chest for lung cancer screening
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
G0009 Administration of pneumococcal vaccine
74178 Ct scan of abdomen and pelvis before and after contrast
76642 Limited ultrasound scan of 1 breast
82728 Ferritin (blood protein) level

These are this provider's own Medicare Part B fee-for-service volumes (CMS public data). CMS suppresses rows with fewer than 11 beneficiaries, so low-volume codes may be missing entirely — absence is not zero. Beneficiary-episodes count CMS's per-setting beneficiary figures, not unique patients. Average charge and average Medicare payment are weighted by service volume across office and facility settings. Volumes on this page are personal to the NPI and are not attributed to any physician group. See Methods & Sources.