Dr. Ernest Wallace , MD
Moderate MarkupBalanced Practice
Maintains a steady clinical rhythm balancing focused physical examination with patient discussion.
How is appointment length calculated?
Visit durations reflect official documentation standards for Evaluation and Management (E/M) office billing codes (CPT 99202 through 99215).
Physicians who bill higher-level comprehensive visits (such as 99214 and 99215) consistently spend 30 to 45 minutes reviewing complex records and discussing care plans, whereas routine refill clinics predominantly bill briefer level 2 and 3 codes.
Appointment Length & Visit Style
Clinical appointment coding analysis across standard patient evaluations
Dr. Wallace primarily performs clinical procedures, imaging, or laboratory services rather than routine timed office consultations.
Pricing Transparency & Fee Comparison
How this provider bills compared to standard insurance benchmarks
Dr. Wallace bills moderately higher than baseline insurance benchmarks. If you are in-network, your co-pay or coinsurance will be determined by your plan's contracted rate. If paying out of pocket, request an upfront written fee estimate.
Verified Clinical Procedures & Surgical Focus
Official annual procedure volumes, customary fee comparisons, and clinical focus areas.
| Clinical Procedure & Code | Annual Services | Doctor Charge | Peer Norm | Standard Baseline | vs. Peer Norm |
|---|---|---|---|---|---|
HCPCS J3111 | 18,585 | $18.22 | $20.00 | $9.99 | 0.91x |
HCPCS J0897 | 14,400 | $54.08 | $41.68 | $23.30 | 1.3x |
HCPCS J1071 | 9,400 | $0.20 | $0.15 | $0.03 | 1.33x |
HCPCS J1602 | 7,718 | $91.40 | $42.00 | $13.35 | 2.18x |
HCPCS J0129 | 5,250 | $117.72 | $80.00 | $42.39 | 1.47x |
HCPCS J1745 | 2,300 | $231.23 | $129.00 | $30.52 | 1.79x |
HCPCS J2357 | 2,280 | $99.79 | $76.92 | $38.10 | 1.3x |
CPT 96372 | 700 | $64.71 | $46.56 | $13.39 | 1.39x |
Other Family Practice Doctors in Illinois
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👨⚕️ Physician & Medical Billing Intelligence (Click to view professional coding data)Expand ↓
This section provides clinical practice analytics for healthcare administrators, billing coders, and peer physicians evaluating practice benchmarks:
Estimated appointment time calculation: N/A. Indicates the proportion of high-complexity (99205/99215) vs. moderate-complexity (99204/99214) documentation relative to national specialty peers.
Gross charge multiplier: 3.24x. Useful for fee schedule alignment, out-of-network charge master analysis, and payer contract negotiations.
Patient Guidance: What to Ask Before Your Appointment
- In-Network Confirmation: Confirm directly with your insurance plan that Dr. Wallace participates in your specific network tier.
- Surgical Facility Fees: If having surgery, verify whether it will be in a hospital or an outpatient surgery center. Facility charges are billed separately from physician fees.
- Written Estimates: If you are paying out of pocket or have a high deductible, request a written good-faith estimate before major treatments.