Annual Physical ExamWell-Child VisitImmunizationsChronic Disease ManagementSports PhysicalMinor Wound CareSkin Lesion RemovalJoint InjectionPreventive ScreeningMental Health Screening

Based on specialty. Actual services may vary — contact the provider's office to confirm.

Procedure Pricing (Medicare Data)

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	$356	$282	$282	50
99495 Transitional care management services for problem of at least moderate complexity	$338	$194	$132	14
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	$338	$160	$160	15
99204 New patient office or other outpatient visit, 45-59 minutes	$336	$162	$109	13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	$236	$125	$125	281
99214 Established patient office or other outpatient visit, 30-39 minutes	$219	$122	$84	293
99213 Established patient office or other outpatient visit, 20-29 minutes	$150	$87	$52	65
90662 Influenza vaccine split virus, preservative free	$88	$72	$72	74
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	$50	$14	$8	20
G0008 Administration of influenza virus vaccine	$49	$30	$30	79
G0009 Administration of pneumococcal vaccine	$49	$30	$30	56
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	$48	$14	$5	12
83036 Hemoglobin a1c level	$40	$10	$10	28
36415 Insertion of needle into vein for collection of blood sample	$15	$8	$8	392

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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.

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