Physician
Family Medicine
Family Medicine
SAN JOSE, CA
GOOD SAMARITAN HOSPITAL
goodsamsanjose.com/?utm_campaign=corp_listings_mgmt&utm_source=google&utm_medium=business_listing
KAISER FOUNDATION HOSPITAL-SAN JOSE
healthy.kaiserpermanente.org/northern-california/facilities/San-Jose-Medical-Center-100322
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 | $1,010 | $281 | $281 | 40 |
99496 Transitional care management services for problem of high complexity | $990 | $338 | $269 | 19 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $431 | $153 | $102 | 515 |
91322 Sarscov2 vac 50 mcg/0.5ml im | $347 | $143 | $143 | 41 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $322 | $109 | $73 | 192 |
99442 Telephone medical discussion with physician, 11-20 minutes | $265 | $109 | $70 | 14 |
90662 Influenza vaccine split virus, preservative free | $249 | $72 | $72 | 92 |
99212 Established patient office or other outpatient visit, 10-19 minutes | $200 | $69 | $43 | 44 |
69210 Removal of impacted ear wax | $190 | $58 | $27 | 13 |
0124A Adm sarscv2 bvl 30mcg/.3ml a | $175 | $49 | $49 | 54 |
90480 Admn sarscov2 vacc 1 dose | $175 | $49 | $49 | 41 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $162 | $156 | $156 | 127 |
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | $66 | $65 | $50 | 41 |
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | $52 | $51 | $41 | 21 |
83036 Hemoglobin a1c level | $41 | $10 | $10 | 35 |
G0009 Administration of pneumococcal vaccine | $38 | $37 | $37 | 46 |
G0008 Administration of influenza virus vaccine | $38 | $37 | $37 | 97 |
81003 Automated urinalysis test | $10 | $2 | $2 | 15 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.