Physician
Family Medicine
Family Medicine
APPLETON, WI
THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC
directory.thedacare.org/location/thedacare-regional-medical-center-appleton-emergency-department
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 |
|---|---|---|---|---|
77067 Screening mammography | $491 | $87 | $87 | 18 |
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $476 | $282 | $282 | 12 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $372 | $120 | $71 | 190 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $248 | $85 | $44 | 61 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $173 | $122 | $122 | 76 |
84153 Psa (prostate specific antigen) measurement, total | $133 | $18 | $18 | 25 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $133 | $19 | $19 | 24 |
84443 Blood test, thyroid stimulating hormone (tsh) | $122 | $16 | $16 | 27 |
80061 Blood test, lipids (cholesterol and triglycerides) | $103 | $13 | $13 | 83 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $98 | $14 | $9 | 14 |
90662 Influenza vaccine split virus, preservative free | $97 | $72 | $72 | 34 |
82607 Cyanocobalamin (vitamin b-12) level | $92 | $15 | $15 | 16 |
83036 Hemoglobin a1c level | $73 | $10 | $10 | 58 |
82565 Blood creatinine level | $66 | $5 | $5 | 21 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $65 | $8 | $8 | 133 |
84460 Liver enzyme (sgpt), level | $64 | $5 | $5 | 62 |
77063 Screening 3d breast mammography | $62 | $23 | $23 | 18 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $57 | $8 | $8 | 56 |
G0009 Administration of pneumococcal vaccine | $54 | $29 | $29 | 12 |
G0008 Administration of influenza virus vaccine | $54 | $29 | $29 | 36 |
85610 Blood test, clotting time | $49 | $4 | $4 | 186 |
82043 Urine microalbumin (protein) level | $44 | $6 | $6 | 22 |
82570 Creatinine level to test for kidney function or muscle injury | $40 | $5 | $5 | 39 |
81001 Manual urinalysis test with examination using microscope, automated | $22 | $3 | $3 | 81 |
82947 Blood glucose (sugar) level | $22 | $4 | $4 | 16 |
36415 Insertion of needle into vein for collection of blood sample | $18 | $8 | $8 | 382 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.