Physician
Diagnostic Radiology
Diagnostic Radiology
WEST COVINA, CA
EMANATE HEALTH INTER-COMMUNITY HOSPITAL
emanatehealth.org/locations/emanate-health-inter-community-hospital
Based on specialty. Actual services may vary — contact the provider's office to confirm.
Based on CMS Medicare Provider Utilization data for 2023. These represent what this physician charged Medicare, not necessarily what you would pay. Compare with other physicians
| Procedure | Avg Charge | Medicare Allowed | Medicare Paid | Services |
|---|---|---|---|---|
77301 High precision radiation therapy planning | $7,718 | $1,763 | $1,409 | 20 |
77295 3d radiation therapy planning | $2,076 | $477 | $380 | 18 |
77290 Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved | $1,960 | $439 | $350 | 34 |
77338 Design and construction of radiation treatment device for high precision radiation therapy | $1,761 | $448 | $358 | 22 |
G6015 Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | $1,474 | $334 | $267 | 330 |
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | $1,098 | $258 | $202 | 44 |
99205 New patient office or other outpatient visit, 60-74 minutes | $719 | $211 | $159 | 23 |
77014 Ct guidance for insertion of radiation therapy fields | $692 | $109 | $86 | 357 |
77427 Radiation treatment management, 5 treatment sessions | $656 | $179 | $143 | 110 |
77263 Complex radiation therapy planning | $588 | $163 | $125 | 56 |
99204 New patient office or other outpatient visit, 45-59 minutes | $578 | $160 | $121 | 25 |
77334 Design and construction of complex radiation treatment device | $564 | $121 | $96 | 83 |
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | $402 | $73 | $57 | 186 |
77336 Continuing radiation therapy consultation per week | $318 | $81 | $65 | 157 |
77300 Calculation of radiation therapy dose | $257 | $65 | $52 | 113 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $252 | $90 | $71 | 13 |
99212 Established patient office or other outpatient visit, 10-19 minutes | $152 | $56 | $38 | 31 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.