Active NPI 1093826497 Individual Practitioner Female Practitioner

Susan H Wallace , APRN

Nurse Practitioner • Omaha, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Susan Wallace, APRN is a certified Nurse Practitioner practicing in Omaha, NE. With approximately 25 years of clinical experience since completing medical education in 2001, Susan Wallace delivers high-quality medical care to the local community at 16120 W DODGE RD.

Susan Wallace accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

16120 W Dodge Rd

Omaha, NE 681182049

Telephone 4023540550

Fax 4023540555

Associated Practice Facility / Clinic

🏢 Md West One, Pc Facility NPI 1760028153

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Omaha, NE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +14.8 yrs vs City Avg

City Avg: 10.2 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

556 Specialists

Practicing in Omaha, NE (993 Statewide)

Telehealth Adoption Rate

9.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wallace (25 Years) 25 Yrs

Omaha Specialty Average (10.2 Years) 10.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	273	206	$290.11	$99.97
99213 Established patient office or other outpatient visit, typically 15 minutes	219	182	$255.00	$70.22
36415 Insertion of needle into vein for collection of blood sample	194	162	$26.00	$8.61
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	100	91	$35.00	$7.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	87	87	$281.17	$101.40
83036 Hemoglobin A1C level	67	64	$92.00	$9.52
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	54	50	$32.00	$6.34
81001 Manual urinalysis test with examination using microscope, automated	47	39	$19.00	$3.04
93000 Routine ekg using at least 12 leads including interpretation and report	30	30	$88.00	$11.03
81003 Automated urinalysis test	23	21	$19.00	$2.20
90662 Influenza vaccine split virus, preservative free	22	22	$85.00	$81.82
G0008 Administration of influenza virus vaccine	22	22	$42.00	$29.78
71046 X-ray of chest, 2 views	22	22	$76.00	$20.21
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	21	21	$41.00	$12.92
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$414.00	$118.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	233	187	$243.00	$70.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	128	$276.00	$99.57
36415 Insertion of needle into vein for collection of blood sample	96	84	$26.00	$8.40
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	55	52	$35.00	$7.61
71046 X-ray of chest, 2 views	39	36	$72.00	$21.13
81001 Manual urinalysis test with examination using microscope, automated	28	27	$19.00	$3.11
93000 Routine ekg using at least 12 leads including interpretation and report	23	23	$84.00	$11.19
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	19	19	$110.00	$44.99
81003 Automated urinalysis test	17	17	$19.00	$2.20
83036 Hemoglobin A1C level	14	14	$92.00	$9.52
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	12	12	$32.00	$6.34
87502 Detection test by nucleic acid for multiple types influenza virus	11	11	$315.00	$85.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	250	212	$181.50	$71.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	212	187	$263.18	$101.06
36415 Insertion of needle into vein for collection of blood sample	144	129	$25.00	$2.96
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	69	63	$33.00	$7.66
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	46	45	$30.00	$6.37
71046 X-ray of chest, 2 views	45	43	$69.00	$21.26
93000 Routine ekg using at least 12 leads including interpretation and report	37	36	$80.00	$11.14
81001 Manual urinalysis test with examination using microscope, automated	36	35	$18.00	$3.13
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	33	33	$65.00	$63.70
G0008 Administration of influenza virus vaccine	33	33	$35.00	$27.27
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	29	29	$105.00	$48.76
81003 Automated urinalysis test	21	19	$18.00	$2.22
83036 Hemoglobin A1C level	17	17	$88.00	$9.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$255.00	$103.52
69210 Removal of impacted ear wax	13	13	$129.00	$36.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	295	258	$177.00	$73.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	217	188	$262.54	$104.23
36415 Insertion of needle into vein for collection of blood sample	145	128	$19.41	$3.00
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	65	62	$33.00	$7.77
81001 Manual urinalysis test with examination using microscope, automated	45	39	$18.00	$3.17
71046 X-ray of chest, 2 views	37	34	$59.05	$21.23
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	36	36	$30.00	$6.47
93000 Routine ekg using at least 12 leads including interpretation and report	27	27	$74.85	$11.78
G0008 Administration of influenza virus vaccine	25	25	$20.00	$15.84
81003 Automated urinalysis test	25	23	$18.00	$2.19
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	24	24	$65.00	$65.00
69210 Removal of impacted ear wax	14	13	$125.00	$37.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$220.18	$107.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	219	184	$255.00	$87.68
99213 Established patient office or other outpatient visit, typically 15 minutes	199	180	$171.00	$59.86
36415 Insertion of needle into vein for collection of blood sample	160	133	$15.00	$2.96
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	62	60	$30.00	$6.43
81001 Manual urinalysis test with examination using microscope, automated	55	52	$18.00	$3.15
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	53	46	$33.00	$7.58
81003 Automated urinalysis test	34	34	$18.00	$2.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	32	32	$110.69	$93.92
G0008 Administration of influenza virus vaccine	32	31	$20.00	$15.74
93000 Routine ekg using at least 12 leads including interpretation and report	31	30	$73.00	$13.32
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	29	29	$65.00	$61.00
83036 Hemoglobin A1C level	26	26	$88.00	$9.27
71046 X-ray of chest, 2 views	20	19	$53.00	$19.85
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	11	11	$60.00	$11.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	405	316	$255.00	$87.01
36415 Insertion of needle into vein for collection of blood sample	281	219	$15.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	272	233	$171.00	$59.59
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	110	106	$30.00	$7.04
81001 Manual urinalysis test with examination using microscope, automated	104	94	$18.00	$3.45
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	85	81	$33.00	$8.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	75	75	$110.44	$93.55
71046 X-ray of chest, 2 views	75	68	$53.00	$18.57
81003 Automated urinalysis test	59	58	$18.00	$2.44
G0008 Administration of influenza virus vaccine	46	45	$20.00	$15.09
93000 Routine ekg using at least 12 leads including interpretation and report	44	43	$73.00	$13.44
90653 Vaccine for influenza for injection into muscle	43	42	$59.77	$58.12
83036 Hemoglobin A1C level	43	37	$88.00	$10.57
77067 Screening mammography	25	25	$167.00	$90.09
77063 Screening digital tomography of both breasts	24	24	$80.00	$22.91
85610 Blood test, clotting time	22	18	$25.00	$4.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	15	$60.00	$13.37
G0009 Administration of pneumococcal vaccine	16	16	$36.00	$15.43
77080 Dxa bone density measurement of hip, pelvis, spine	14	14	$98.00	$27.60
94640 Inhalation treatment for airway obstruction or sputum production	14	11	$45.00	$14.01
69209 Removal of impacted ear wax by washing	13	12	$50.08	$14.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	435	347	$255.00	$85.14
99213 Established patient office or other outpatient visit, typically 15 minutes	370	315	$171.00	$57.61
36415 Insertion of needle into vein for collection of blood sample	285	225	$15.00	$2.94
81003 Automated urinalysis test	128	118	$14.31	$2.71
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	96	93	$30.00	$7.82
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	83	80	$33.00	$9.40
G0008 Administration of influenza virus vaccine	78	78	$20.00	$18.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	70	70	$110.71	$92.54
90653 Vaccine for influenza for injection into muscle	70	70	$55.00	$53.39
93000 Routine ekg using at least 12 leads including interpretation and report	56	55	$73.00	$13.25
71046 X-ray of chest, 2 views	56	51	$53.00	$17.59
83036 Hemoglobin A1C level	54	41	$88.00	$11.75
81001 Manual urinalysis test with examination using microscope, automated	35	34	$18.00	$3.84
85610 Blood test, clotting time	28	25	$25.00	$4.75
87502 Detection test by nucleic acid for multiple types influenza virus	23	22	$300.00	$102.96
77067 Screening mammography	22	22	$167.00	$90.33
G0009 Administration of pneumococcal vaccine	22	22	$36.00	$18.95
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	18	$60.00	$16.20
77063 Screening digital tomography of both breasts	20	20	$80.00	$22.79
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$258.00	$105.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	443	361	$171.00	$57.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	422	320	$255.00	$85.11
36415 Insertion of needle into vein for collection of blood sample	304	245	$15.00	$2.93
81003 Automated urinalysis test	182	158	$14.33	$3.02
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	131	122	$33.00	$6.19
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	83	80	$30.00	$8.69
G0008 Administration of influenza virus vaccine	73	71	$20.00	$19.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	68	68	$109.04	$91.51
90653 Vaccine for influenza for injection into muscle	63	63	$55.00	$49.22
71020 X-ray of chest, 2 views, front and side	61	54	$53.00	$15.13
83036 Hemoglobin A1C level	58	50	$88.00	$13.05
93000 Routine ekg using at least 12 leads including interpretation and report	42	40	$73.00	$13.24
85610 Blood test, clotting time	33	26	$25.00	$5.28
77080 Dxa bone density measurement of hip, pelvis, spine	23	23	$98.00	$27.62
G0009 Administration of pneumococcal vaccine	22	22	$35.09	$23.36
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	21	21	$167.00	$89.32
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	17	13	$60.00	$19.98
82570 Creatinine level to test for kidney function or muscle injury	12	12	$28.00	$6.96
90670 Pneumococcal vaccine for injection into muscle	12	12	$380.50	$185.95
82043 Urine microalbumin (protein) level	12	12	$63.00	$7.77

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NE 110115

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IA 092180

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1093826497 (IA)

Medicaid State Provider ID

47068731727 (NE)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners

Dr. Michael Klug , MD

Internal Medicine

NPI 1093166050

Doctor of Medicine (M.D.)

Dr. James Maliszewski , MD

Internal Medicine

NPI 1205197464

Doctor of Medicine (M.D.)

Dr. Eric Hilker , MD

Internal Medicine

NPI 1275264319

Doctor of Medicine (M.D.)

Dr. Lauren Nelson , MD

Internal Medicine

NPI 1285862151

Doctor of Medicine (M.D.)

Dr. M. Suzan Crabb , MD

Internal Medicine

NPI 1386741981

Doctor of Medicine (M.D.)

Dr. Steven Bailey , MD

Internal Medicine

NPI 1477666402

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 20, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location December 20, 2013

Registered at 16120 W DODGE RD, OMAHA, NE 681182049 (Tel: 4023540550)

📍

Updated Business Mailing Address December 20, 2013

Registered at PO BOX 3755, OMAHA, NE 681030755 (Tel: 4023542100)

👤

Provider Name / Credentials Updated December 20, 2013

Recorded as SUSAN WALLACE, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2013

Nurse Practitioner (License #110115 in NE)

🟢

Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093826497

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 31, 2006

Last Update: December 20, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3755

Omaha, NE 681030755

Phone: 4023542100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.