Physician
Physician Assistant, Surgical
Physician Assistant, Surgical
DARTMOUTH, MA
SOUTHCOAST BEHAVIORAL HEALTH
southcoast.org/locations/southcoast-behavioral-health-dartmouth-ma-250-551
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 |
|---|---|---|---|---|
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $400 | $112 | $112 | 22 |
58100 Biopsy of lining of uterus | $357 | $89 | $69 | 11 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $350 | $111 | $72 | 135 |
57160 Fitting and insertion of vaginal support device | $254 | $66 | $48 | 28 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $228 | $79 | $55 | 199 |
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $217 | $111 | $89 | 12 |
A4562 Pessary, non rubber, any type | $182 | $65 | $48 | 27 |
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | $177 | $38 | $31 | 22 |
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | $146 | $38 | $38 | 93 |
99212 Established patient office or other outpatient visit, 10-19 minutes | $136 | $49 | $32 | 62 |
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination | $122 | $34 | $34 | 89 |
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $118 | $68 | $46 | 20 |
87800 Detection test by nucleic acid for multiple organisms, direct probe(s) technique | $60 | $43 | $43 | 139 |
84443 Blood test, thyroid stimulating hormone (tsh) | $50 | $16 | $16 | 16 |
80053 Blood test, comprehensive group of blood chemicals | $40 | $10 | $10 | 19 |
81003 Automated urinalysis test | $30 | $2 | $2 | 119 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $25 | $8 | $8 | 17 |
82270 Stool analysis for blood to screen for colon tumors | $20 | $4 | $4 | 34 |
36415 Insertion of needle into vein for collection of blood sample | $20 | $8 | $8 | 54 |
96127 Assessment of emotional or behavioral problems | $15 | $5 | $3 | 94 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.