Physician

Kenneth A Wallace, MD

According to 2025 Medicare claims, Kenneth Wallace, MD (NPI: 1295791754) practices dermatology in the Ocala, FL market, with the plurality of this provider's patient population coming from Marion, FL. This provider's primary affiliated billing organization is MICHAEL J FREEMAN MD PA (NPI: 1801083589; TIN: 59-2337462) and primary practice location at 34428-2815.

Wallace's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 992 traditional Medicare patients, billed 33,970 HCPCS/CPT codes, and received $6,303,484 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 1,305 prescription claims across 600 beneficiaries totaling $550,047 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 20 records totaling $2,835. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $322,919 to $6,303,484. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $241,702 and ending at $550,047. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$3.2M$6.3M2015 Medicare payment: $322,919 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $389,333 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $428,321 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $394,417 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $319,603 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $589,522 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $848,249 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,722,867 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $5,461,489 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $6,303,484 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20156395,311$322,919
20167005,034$389,333
20177595,156$428,321
20188275,103$394,417
20199083,590$319,603
20207242,870$589,522
20217044,777$848,249
202295515,104$1,722,867
20231,16835,451$5,461,489
202499233,970$6,303,484

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$275K$550K2015 Drug cost: $241,702 (USD; Tot_Drug_Cst)2016 Drug cost: $228,088 (USD; Tot_Drug_Cst)2017 Drug cost: $228,611 (USD; Tot_Drug_Cst)2018 Drug cost: $95,294 (USD; Tot_Drug_Cst)2019 Drug cost: $157,982 (USD; Tot_Drug_Cst)2020 Drug cost: $61,917 (USD; Tot_Drug_Cst)2021 Drug cost: $13,844 (USD; Tot_Drug_Cst)2022 Drug cost: $136,408 (USD; Tot_Drug_Cst)2023 Drug cost: $261,596 (USD; Tot_Drug_Cst)2024 Drug cost: $550,047 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20155701,592$241,702
20165941,704$228,088
20176901,762$228,611
20186291,346$95,294
2019462760$157,982
20207071,088$61,917
2021591921$13,844
2022527905$136,408
20237931,543$261,596
20246001,305$550,047

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more5411,004$67
11102Biopsy of related skin growth, first growth449580$66
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more339548$41
11103Biopsy of related skin growth, each additional growth312935$38
17000Destruction of precancer skin growth, 1 growth339474$35

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab12336$192,626
Dupixent PenDupilumab401,120$161,411
SantylCollagenase Clostridium Hist.15497$12,035
Doxycycline HyclateDoxycycline Hyclate4954,142$4,316
Clobetasol PropionateClobetasol Propionate1023,052$4,215

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.20$2,835Biofrontera Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Kenneth A. Wallace, MD?

Tedicare shows public-source Medicare data for Kenneth A. Wallace, MD (NPI 1295791754), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Kenneth A. Wallace, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Kenneth A. Wallace, MD?

Kenneth A. Wallace, MD is linked to MICHAEL J FREEMAN MD PA (billing NPI 1801083589) in the available physician profile data.

Does Kenneth A. Wallace, MD have Open Payments data?

Kenneth A. Wallace, MD has 20 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.