Physician
Family Medicine
Family Medicine
FAYETTEVILLE, NY
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 |
|---|---|---|---|---|
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $370 | $281 | $281 | 17 |
99495 Transitional care management services for problem of at least moderate complexity | $265 | $199 | $159 | 15 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $260 | $162 | $162 | 12 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $240 | $127 | $127 | 136 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $191 | $125 | $87 | 334 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $130 | $88 | $52 | 107 |
90662 Influenza vaccine split virus, preservative free | $83 | $72 | $72 | 34 |
99212 Established patient office or other outpatient visit, 10-19 minutes | $70 | $55 | $31 | 13 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $70 | $14 | $10 | 17 |
80053 Blood test, comprehensive group of blood chemicals | $64 | $10 | $10 | 236 |
82306 Vitamin d-3 level | $64 | $29 | $29 | 116 |
G0009 Administration of pneumococcal vaccine | $55 | $30 | $30 | 17 |
80061 Blood test, lipids (cholesterol and triglycerides) | $53 | $13 | $13 | 151 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $53 | $19 | $19 | 15 |
84439 Thyroxine (thyroid chemical), free | $47 | $9 | $9 | 50 |
84443 Blood test, thyroid stimulating hormone (tsh) | $47 | $16 | $16 | 155 |
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | $45 | $25 | $25 | 18 |
82607 Cyanocobalamin (vitamin b-12) level | $43 | $15 | $15 | 19 |
G0444 Annual depression screening, 5 to 15 minutes | $40 | $18 | $18 | 101 |
G0008 Administration of influenza virus vaccine | $40 | $30 | $30 | 39 |
83036 Hemoglobin a1c level | $31 | $10 | $10 | 83 |
87086 Bacterial colony count, urine | $30 | $8 | $8 | 63 |
G0442 Annual alcohol misuse screening, 5 to 15 minutes | $27 | $18 | $18 | 22 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $23 | $8 | $8 | 190 |
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | $22 | $8 | $8 | 24 |
83735 Magnesium level | $22 | $7 | $7 | 12 |
87077 Bacterial culture for aerobic isolates | $18 | $8 | $8 | 24 |
82043 Urine microalbumin (protein) level | $16 | $6 | $6 | 32 |
81002 Urinalysis, manual test | $16 | $3 | $3 | 110 |
82570 Creatinine level to test for kidney function or muscle injury | $15 | $5 | $5 | 28 |
36415 Insertion of needle into vein for collection of blood sample | $10 | $8 | $8 | 302 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.