Physician
Internal Medicine
Internal Medicine
SAN CLEMENTE, CA
PROVIDENCE MISSION HOSPITAL
providence.org/locations/socal/mission-hospital-mission-viejo
HOAG MEMORIAL HOSPITAL PRESBYTERIAN
hoag.org/locations/hoag-hospital-newport-beach/?utm_medium=local&utm_campaign=Yext&utm_source=google
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 |
|---|---|---|---|---|
99215 Established patient office or other outpatient visit, 40-54 minutes | $485 | $194 | $148 | 124 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $450 | $178 | $178 | 16 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $354 | $140 | $140 | 120 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $345 | $138 | $101 | 494 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $245 | $98 | $73 | 205 |
71046 X-ray of chest, 2 views | $145 | $28 | $22 | 12 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $133 | $76 | $76 | 18 |
82306 Vitamin d-3 level | $85 | $29 | $29 | 37 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $71 | $19 | $19 | 24 |
84443 Blood test, thyroid stimulating hormone (tsh) | $48 | $16 | $16 | 68 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $43 | $8 | $8 | 92 |
80061 Blood test, lipids (cholesterol and triglycerides) | $43 | $13 | $13 | 59 |
82043 Urine microalbumin (protein) level | $39 | $6 | $6 | 14 |
84439 Thyroxine (thyroid chemical), free | $34 | $9 | $9 | 24 |
80053 Blood test, comprehensive group of blood chemicals | $32 | $10 | $10 | 68 |
83036 Hemoglobin a1c level | $32 | $10 | $10 | 56 |
G0008 Administration of influenza virus vaccine | $30 | $29 | $29 | 19 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $24 | $8 | $8 | 16 |
82570 Creatinine level to test for kidney function or muscle injury | $18 | $5 | $5 | 14 |
36415 Insertion of needle into vein for collection of blood sample | $13 | $8 | $8 | 128 |
81001 Manual urinalysis test with examination using microscope, automated | $13 | $3 | $3 | 49 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.