Physician
Family Medicine
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 | $576 | $263 | $263 | 15 |
99495 Transitional care management services for problem of at least moderate complexity | $420 | $202 | $162 | 16 |
99204 New patient office or other outpatient visit, 45-59 minutes | $347 | $167 | $88 | 76 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $343 | $152 | $152 | 12 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $267 | $126 | $126 | 209 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $264 | $125 | $85 | 380 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $187 | $89 | $58 | 307 |
90662 Influenza vaccine split virus, preservative free | $146 | $69 | $69 | 32 |
G0008 Administration of influenza virus vaccine | $64 | $29 | $29 | 34 |
G0009 Administration of pneumococcal vaccine | $64 | $28 | $28 | 15 |
82306 Vitamin d-3 level | $59 | $29 | $29 | 32 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $39 | $19 | $19 | 52 |
G0444 Annual depression screening, 5 to 15 minutes | $38 | $17 | $17 | 91 |
84153 Psa (prostate specific antigen) measurement, total | $37 | $18 | $18 | 28 |
84443 Blood test, thyroid stimulating hormone (tsh) | $34 | $16 | $16 | 165 |
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report | $30 | $13 | $8 | 12 |
82607 Cyanocobalamin (vitamin b-12) level | $30 | $15 | $15 | 27 |
82746 Folic acid level, serum | $29 | $14 | $14 | 27 |
82728 Ferritin (blood protein) level | $27 | $13 | $13 | 24 |
80061 Blood test, lipids (cholesterol and triglycerides) | $27 | $13 | $13 | 180 |
80053 Blood test, comprehensive group of blood chemicals | $21 | $10 | $10 | 186 |
83036 Hemoglobin a1c level | $19 | $9 | $9 | 88 |
83550 Iron binding capacity | $17 | $9 | $9 | 24 |
36415 Insertion of needle into vein for collection of blood sample | $17 | $8 | $8 | 264 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $16 | $8 | $8 | 205 |
83540 Iron level | $13 | $6 | $6 | 24 |
82043 Urine microalbumin (protein) level | $12 | $6 | $6 | 33 |
82570 Creatinine level to test for kidney function or muscle injury | $10 | $5 | $5 | 33 |
85044 Red blood count, manual test | $9 | $4 | $4 | 19 |
81002 Urinalysis, manual test | $7 | $3 | $3 | 14 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.