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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Kenneth Wallace
๐Ÿงด
MDIndividual

Kenneth Wallace, MD

NPI: 1295791754
Ocala, FL
10 years of data
Dermatology
$9.9M
Total Payments
260
Beneficiaries
79.6K
Services
1.86x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$9.9M
Specialty median$212.7K

๐Ÿ“‹ Key Findings

1Billed $9.9M over 10 years
21.86x markup ratio
399th percentile in Dermatology by payments
4Payments surged 226% in 2023
51 procedure with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $9.9M in total Medicare payments ranks in the 99th percentile of Dermatology providers nationally.

Medicare payments to this provider grew 5079% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 226% in 2023

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$171.95$62.522.75x$109.43$102.6K1.6K15
2015$171.99$58.242.95x$113.75$277.3K4.8K23
2016$231.39$77.143.00x$154.25$351.5K4.6K23
2017$251.15$81.693.07x$169.46$385.8K4.7K22
2018$225.62$76.232.96x$149.39$363.0K4.8K22
2019$196.23$81.752.40x$114.48$273.1K3.3K22
2020$384.77$207.771.85x$177.00$532.3K2.6K26
2021$363.63$176.992.05x$186.64$689.2K3.9K31
2022$205.88$111.661.84x$94.22$1.6M14.6K31
2023$230.27$153.001.51x$77.27$5.3M34.7K45

Top Procedures (20)

Q4282Cygnus dual, per square centimeter
$2.8M
2.5K services$1.1K/svc1.28x markup
77280Obtaining data needed to develop the optimal radiation treatment, 1 treatment area
$1.0M
4.9K services$207.44/svc2.16x markup
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks
$918.9K
1.9K services$490.08/svc2.01x markup
Q4262Dual layer impax membrane, per square centimeter
$885.2K
827 services$1.1K/svc1.38x markup
G6001Ultrasonic guidance for placement of radiation therapy fields
$563.8K
4.1K services$136.49/svc2.31x markup
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks
$392.9K
1.2K services$315.55/svc1.89x markup
13121Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm
$275.4K
1.1K services$260.33/svc2.45x markup
99213Established patient office or other outpatient visit, 20-29 minutes
$264.8K
4.7K services$56.35/svc2.48x markup
13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm
$245.1K
1.0K services$236.15/svc2.92x markup
Q4197Puraply xt, per square centimeter
$231.2K
1.1K services$210.16/svc1.27x markup
77401Superficial and/or low voltage radiation treatment delivery
$197.5K
6.3K services$31.57/svc1.82x markup
17313Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks
$163.3K
345 services$473.32/svc1.84x markup
99203New patient office or other outpatient visit, 30-44 minutes
$163.2K
2.1K services$76.03/svc2.81x markup
77290Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved
$160.3K
457 services$350.74/svc1.62x markup
11100Biopsy of single growth of skin and/or tissue
$149.6K
2.0K services$74.31/svc2.78x markup
77285Obtaining data needed to develop the optimal radiation treatment, 2 treatment areas
$133.6K
397 services$336.63/svc1.37x markup
13101Complicated repair of wound of trunk, 2.6-7.5 cm
$125.5K
430 services$291.86/svc2.20x markup
11102Biopsy of related skin growth, first growth
$100.6K
1.5K services$65.60/svc2.22x markup
17110Destruction of skin growth, 1-14 growths
$93.6K
1.2K services$80.78/svc2.44x markup
17000Destruction of precancer skin growth, 1 growthโš  3.3x markup
$93.0K
2.5K services$37.11/svc3.33x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
Q4282Cygnus dual, per square centimeter2.5K$2.8M$1.1K1.28x
77280Obtaining data needed to develop the optimal radiation treatment, 1 treatment area4.9K$1.0M$207.442.16x
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks1.9K$918.9K$490.082.01x
Q4262Dual layer impax membrane, per square centimeter827$885.2K$1.1K1.38x
G6001Ultrasonic guidance for placement of radiation therapy fields4.1K$563.8K$136.492.31x
17312Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks1.2K$392.9K$315.551.89x
13121Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm1.1K$275.4K$260.332.45x
99213Established patient office or other outpatient visit, 20-29 minutes4.7K$264.8K$56.352.48x
13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm1.0K$245.1K$236.152.92x
Q4197Puraply xt, per square centimeter1.1K$231.2K$210.161.27x
77401Superficial and/or low voltage radiation treatment delivery6.3K$197.5K$31.571.82x
17313Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks345$163.3K$473.321.84x
99203New patient office or other outpatient visit, 30-44 minutes2.1K$163.2K$76.032.81x
77290Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved457$160.3K$350.741.62x
11100Biopsy of single growth of skin and/or tissue2.0K$149.6K$74.312.78x
77285Obtaining data needed to develop the optimal radiation treatment, 2 treatment areas397$133.6K$336.631.37x
13101Complicated repair of wound of trunk, 2.6-7.5 cm430$125.5K$291.862.20x
11102Biopsy of related skin growth, first growth1.5K$100.6K$65.602.22x
17110Destruction of skin growth, 1-14 growths1.2K$93.6K$80.782.44x
17000Destruction of precancer skin growth, 1 growth2.5K$93.0K$37.113.33x

Markup Analysis

Charge-to-Payment Ratio

1.86x

This provider submits charges 1.86 times higher than what Medicare actually pays.

What This Means

A markup ratio of 1.86x means for every $100 Medicare pays, this provider initially charges $186. This is lower than the national average.

Location

Ocala, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Dermatology providers in FL for peer comparison.

Kenneth Wallace (you)
$9.9M
Thi Tran, DO
$37.6M
Neil Sandhu, MD
$36.2M
David Casper, M.D.
$35.4M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Thi Tran, DOThe Villages, FL$37.6Mโœ“ Clear
Neil Sandhu, MDOrange City, FL$36.2Mโœ“ Clear
David Casper, M.D.The Villages, FL$35.4Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.

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