Providers
All 35 in OH
WAYMON L WALLACE, MD
NPI 1841213667, individual, Cincinnati, OH, Internal Medicine
3
Evidence tier
charged in a public enforcement record
- Charged (charged) per a Department of Justice release dated July 1, 2024, not adjudicated.
- Medicaid paid $13,091 in the last 12 observed months.
score 64 of 100, rank 1518, $13K at stake
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| doj charged enforcement record (charged): nine individuals charged in middle district of florida in connection with health care fraud schemes | No NPI on the list; matched by name at high confidence | Jul 1, 2024 | still open | 4 | Aug 2024 | Nov 2024 | $5K | $13K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | WAYMON L WALLACE, MD |
| Type | Individual |
| Status | Active |
| NPI issued | July 25, 2006, last updated July 21, 2022 |
| Practice location | 1577 GOODMAN AVE STE A, Cincinnati, OH 45224-1044, 513-403-3762 |
| Mailing address | PO BOX 40535, Cincinnati, OH 45240-0535 |
| Specialties | Internal Medicine (207R00000X, primary, license 35076674 OH) |
In this area
35 providers in Hamilton County, OH carry an indicator in the public record, with $18.2M at stake between them. The most common is part of a provider network, on 17 of them, followed by more hours than a day holds on 10. 3 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | GREATER CINCINNATI PAIN MANAGEMENT Cincinnati, OH, ranked 253 | $17K |
|
| 1 | MITCHELL SIMONS Cincinnati, OH, ranked 256 | $16K |
|
| 1 | ADVANCED SPINE & PAIN MANAGEMENT INC Cincinnati, OH, ranked 326 | $5K |
|
| 3 | HOSPICE OF SOUTHWEST OHIO, INC. Cincinnati, OH, ranked 932 | $4.0M |
|
| 3 | AFFINITY CARE OF OHIO LLC Cincinnati, OH, ranked 952 | $2.6M |
|
| 3 | EXCLUSIVE SERVICES Blue Ash, OH, ranked 1330 | $126K |
|
| 3 | NORTHSTAR HOME HOSPICE, LLC Cincinnati, OH, ranked 1967 | $0 |
|
| 3 | VERNON RAWLS Blue Ash, OH, ranked 2078 | $0 |
|
Recent enforcement in OH
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementJun 23, 2026
Ohio Dentist Agrees to Pay $500,000 to Resolve Allegations of Submitting False Claims to Medicaid
Meckler billed the Ohio Department of Medicaid for services provided by Ball, who was excluded from the Medicaid program, by listing Meckler as the rendering provider instead of Ball.
DOJSentencedJun 15, 2026
Ohio Doctor Ordered to Pay Nearly $1M for Facilitating Fraud on Medicare
A physician working as an independent contractor for a telemedicine company signed doctor's orders for durable medical equipment braces and genetic testing without meaningfully reviewing patient records or performing required in-person assessments, and those orders were used to bill Medicare more than $1,842,524.
DOJCivil settlementApr 2, 2026
Trinity Hospital Agrees to Pay $1.7M to Resolve Alleged Stark Law Violations
Trinity agreed to pay $1.7 million to resolve allegations that from 2014 through 2020 it made improper financial contributions to two referring physicians through office space rental arrangements that exceeded fair market value, in violation of the Stark Law.
DOJComplaint filedFeb 20, 2026
Justice Department Sues OhioHealth for Anticompetitive Healthcare Contracts That Increase Costs for Ohio Patients
The Justice Department and Ohio Attorney General filed a civil antitrust complaint alleging OhioHealth used its market power to impose contractual restrictions that prevent insurers from offering lower-cost health plans and limit access to price information.
DOJSentencedJan 14, 2026
Ohio Doctor Sentenced to Prison for $14M Healthcare Fraud Scheme
A licensed Ohio physician employed by two Florida telemedicine companies signed pre-completed orders for durable medical equipment and cancer genetic testing, falsely affirming he had examined the patients, causing more than $14.5 million in fraudulent Medicare claims.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.