Physician
Internal Medicine
Internal Medicine
OWEGO, NY
OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC
ROBERT PACKER HOSPITAL
Based on specialty. Actual services may vary — contact the provider's office to confirm.
MIPS (Merit-based Incentive Payment System) scores measure quality, cost, and improvement activities. Higher is better. Learn more at qpp.cms.gov
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 | $487 | $281 | $281 | 30 |
99495 Transitional care management services for problem of at least moderate complexity | $429 | $195 | $154 | 39 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $312 | $162 | $162 | 22 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $277 | $124 | $80 | 378 |
91322 Sarscov2 vac 50 mcg/0.5ml im | $204 | $143 | $143 | 11 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $192 | $127 | $127 | 134 |
69210 Removal of impacted ear wax | $192 | $46 | $25 | 20 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $188 | $87 | $58 | 353 |
99212 Established patient office or other outpatient visit, 10-19 minutes | $135 | $55 | $39 | 27 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $116 | $76 | $76 | 83 |
96372 Injection of drug or substance under skin or into muscle | $66 | $14 | $10 | 47 |
90480 Admn sarscov2 vacc 1 dose | $53 | $39 | $39 | 11 |
G0008 Administration of influenza virus vaccine | $53 | $30 | $30 | 95 |
G0009 Administration of pneumococcal vaccine | $51 | $30 | $30 | 36 |
90686 Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | $37 | $22 | $22 | 12 |
81003 Automated urinalysis test | $21 | $2 | $2 | 22 |
36415 Insertion of needle into vein for collection of blood sample | $18 | $8 | $8 | 612 |
96127 Assessment of emotional or behavioral problems | $17 | $4 | $3 | 173 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.