Physician
Internal Medicine
Internal Medicine
BETHANY, OK
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 |
|---|---|---|---|---|
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $420 | $157 | $157 | 16 |
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $400 | $282 | $282 | 22 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $340 | $170 | $107 | 221 |
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $325 | $124 | $90 | 14 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $320 | $123 | $123 | 200 |
77067 Screening mammography | $300 | $119 | $119 | 82 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $260 | $120 | $83 | 1,075 |
96132 Evaluation of neuropsychological test, first hour | $250 | $125 | $100 | 29 |
93922 Ultrasound study of arm and leg arteries | $175 | $74 | $56 | 259 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $170 | $85 | $50 | 151 |
94010 Test to measure expiratory airflow and volume | $150 | $25 | $17 | 33 |
77063 Screening 3d breast mammography | $150 | $50 | $50 | 82 |
77080 Dxa bone density measurement of hip, pelvis, spine | $130 | $35 | $35 | 57 |
90662 Influenza vaccine split virus, preservative free | $125 | $72 | $72 | 90 |
71046 X-ray of chest, 2 views | $120 | $29 | $21 | 23 |
82306 Vitamin d-3 level | $120 | $29 | $29 | 97 |
84443 Blood test, thyroid stimulating hormone (tsh) | $110 | $16 | $16 | 111 |
96138 Administration of psychological or neuropsychological test by technician, first 30 minutes | $100 | $30 | $24 | 29 |
82607 Cyanocobalamin (vitamin b-12) level | $100 | $15 | $15 | 52 |
80061 Blood test, lipids (cholesterol and triglycerides) | $90 | $13 | $13 | 637 |
84481 Thyroid hormone, t3 measurement, free | $90 | $16 | $16 | 68 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $90 | $19 | $19 | 83 |
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | $80 | $35 | $35 | 61 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $70 | $8 | $8 | 879 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $60 | $13 | $9 | 140 |
82728 Ferritin (blood protein) level | $60 | $13 | $13 | 41 |
84439 Thyroxine (thyroid chemical), free | $60 | $9 | $9 | 72 |
83036 Hemoglobin a1c level | $60 | $9 | $9 | 309 |
86140 Measurement c-reactive protein for detection of infection or inflammation | $60 | $5 | $5 | 70 |
96372 Injection of drug or substance under skin or into muscle | $59 | $13 | $10 | 55 |
87804 Detection test by immunoassay with direct visual observation for influenza virus | $52 | $16 | $16 | 82 |
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | $50 | $16 | $16 | 22 |
83721 Ldl cholesterol level | $50 | $10 | $10 | 620 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $50 | $8 | $8 | 441 |
J1040 Injection, methylprednisolone acetate, 80 mg | $45 | $12 | $9 | 54 |
G0008 Administration of influenza virus vaccine | $40 | $29 | $29 | 91 |
G0009 Administration of pneumococcal vaccine | $40 | $29 | $29 | 21 |
81001 Manual urinalysis test with examination using microscope, automated | $40 | $3 | $3 | 80 |
82043 Urine microalbumin (protein) level | $30 | $6 | $6 | 125 |
82550 Creatine kinase (cardiac enzyme) level, total | $30 | $6 | $6 | 25 |
84460 Liver enzyme (sgpt), level | $24 | $5 | $5 | 528 |
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated | $20 | $4 | $4 | 71 |
82570 Creatinine level to test for kidney function or muscle injury | $20 | $5 | $5 | 126 |
84550 Uric acid level, blood | $20 | $4 | $4 | 60 |
36415 Insertion of needle into vein for collection of blood sample | $14 | $8 | $8 | 973 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.