Physician
Family Medicine
Family Medicine
ADRIAN, MI
PROMEDICA CHARLES AND VIRGINIA HICKMAN 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 |
|---|---|---|---|---|
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $427 | $283 | $283 | 59 |
99496 Transitional care management services for problem of high complexity | $397 | $260 | $194 | 25 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $329 | $160 | $160 | 11 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $229 | $125 | $125 | 159 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $213 | $174 | $121 | 42 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $148 | $122 | $75 | 293 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $118 | $73 | $73 | 42 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $106 | $85 | $50 | 86 |
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | $100 | $54 | $54 | 24 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $41 | $14 | $8 | 11 |
G0009 Administration of pneumococcal vaccine | $33 | $29 | $29 | 63 |
G0008 Administration of influenza virus vaccine | $33 | $29 | $29 | 42 |
83036 Hemoglobin a1c level | $19 | $10 | $10 | 27 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.