Physician
Internal Medicine
Internal Medicine
MODESTO, CA
MEMORIAL MEDICAL CENTER
sutterhealth.org/find-location/facility/memorial-medical-center-1043246633
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 |
|---|---|---|---|---|
99496 Transitional care management services for problem of high complexity | $772 | $289 | $231 | 43 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $546 | $172 | $172 | 19 |
99495 Transitional care management services for problem of at least moderate complexity | $545 | $208 | $164 | 20 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $461 | $186 | $134 | 25 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $381 | $135 | $135 | 256 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $343 | $131 | $84 | 264 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $234 | $93 | $59 | 872 |
99212 Established patient office or other outpatient visit, 10-19 minutes | $145 | $59 | $39 | 113 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $89 | $75 | $75 | 39 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $79 | $15 | $10 | 38 |
96372 Injection of drug or substance under skin or into muscle | $75 | $15 | $10 | 58 |
G0008 Administration of influenza virus vaccine | $65 | $32 | $32 | 52 |
90686 Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | $27 | $22 | $22 | 14 |
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | $14 | $2 | $1 | 38 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.