Eric Wallace

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NPI Number Detailed Information

Provider Information:

Name:	Eric Wallace
Gender:	M
Provider License Number If Given:	A85195

NPI Information:

NPI:	1578502191
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	6/6/2006
Last Update Date:	11/14/2017
Reputation Report:

Provider Business Mailing Address:

Address:	4100 GUARDIAN ST STE 205 Simi Valley, CA 93063
Phone Number:	8555044544
Fax Number:	8555772018

Provider Business Practice Location Address:

Address:	168 N BRENT ST SUITE 402 Ventura, CA 93003
Phone Number:	8882340004
Fax Number:	8056413965

Provider Taxonomy:

Primary:	2085R0202X
Secondary (if any):
State:	CA

Top Doctors in CA

About Eric Wallace

Eric Wallace ( ERIC WALLACE ) is A Radiology Physician in Ventura, CA. The NPI Number for Eric Wallace is 1578502191.

The current location address for Eric Wallace is 168 N BRENT ST SUITE 402 Ventura, CA 93003 and the contact number is 8555044544 and fax number is 8555772018. The mailing address for Eric Wallace is 4100 GUARDIAN ST STE 205 Simi Valley, CA 93063- 8882340004 (mailing address contact number - 8555044544).

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider Business Location on Map

FAQs:

What is the NPI Number for Eric Wallace ?

Answer: The NPI Number for Eric Wallace is 1578502191

Where is Eric Wallace located?

Answer: Eric Wallace is located at 168 N BRENT ST SUITE 402 Ventura, CA 93003.

What is the specialty for Eric Wallace ?

Answer: The Specialty of Eric Wallace is A Radiology Physician.

Are there any online reviews for Eric Wallace ?

Answer: Yes! Check It Now.

Are there any other health care providers in Ventura, CA?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Eric Wallace

Number of HCPCS	157
Number of Medicare Beneficiaries	2358
Number of Services	3780
Total Submitted Charge Amount	589349.95
Total Medicare Allowed Amount	166827.15
Total Medicare Payment Amount	126719.13
Total Medicare Standardized Payment Amount	91991.13
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	2
Number of Medicare Beneficiaries With Drug Services	13
Number of Drug Services	668
Total Drug Submitted Charge Amount	1180.95
Total Drug Medicare Allowed Amount	86.13
Total Drug Medicare Payment Amount	71.34
Total Drug Medicare Standardized Payment Amount	70.12
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	155
Number of Medicare Beneficiaries With Medical	2358
Number of Medical Services	3112
Total Medical Submitted Charge Amount	588169
Total Medical Medicare Allowed Amount	166741.02
Total Medical Medicare Payment Amount	126647.79
Total Medical Medicare Standardized Payment Amount	91921.01
Average Age of Beneficiaries	74
Number of Beneficiaries Age Less 65	260
Number of Beneficiaries Age 65 to 74	956
Number of Beneficiaries Age 75 to 84	800
Number of Beneficiaries Age Greater 84	342
Number of Female Beneficiaries	1285
Number of Male Beneficiaries	1073
Number of Non-Hispanic White Beneficiaries	2039
Number of Black or African American Beneficiaries	20
Number of Asian Pacific Islander Beneficiaries	47
Number of Hispanic Beneficiaries	135
Number of American Indian/Alaska Native Beneficiaries	50
Number of Beneficiaries With Race Not Elsewhere Classified	67
Number of Beneficiaries With Medicare & Medicaid Entitlement	544
Number of Beneficiaries With Medicare Only Entitlement	1814
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.16
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.15
Percent (%) of Beneficiaries Identified With Asthma	0.08
Percent (%) of Beneficiaries Identified With Cancer	0.13
Percent (%) of Beneficiaries Identified With Heart Failure	0.24
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.36
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.16
Percent (%) of Beneficiaries Identified With Depression	0.26
Percent (%) of Beneficiaries Identified With Diabetes	0.3
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.51
Percent (%) of Beneficiaries Identified With Hypertension	0.68
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.38
Percent (%) of Beneficiaries Identified With Osteoporosis	0.11
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.53
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0.03
Percent (%) of Beneficiaries Identified With Stroke	0.08
Average HCC Risk Score of Beneficiaries	1.3966

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