Physician
Family Medicine
Family Medicine
FORT WAYNE, IN
DUPONT HOSPITAL LLC
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INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL
Based on specialty. Actual services may vary — contact the provider's office to confirm.
MIPS (Merit-based Incentive Payment System) scores measure quality, cost, and improvement activities. Higher is better. Learn more at qpp.cms.gov
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 |
|---|---|---|---|---|
90671 Pneumococcal conjugate vaccine, 15 valent (pcv15), for intramuscular use | $615 | $241 | $241 | 15 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $438 | $157 | $157 | 21 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $342 | $123 | $123 | 104 |
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | $335 | $127 | $90 | 20 |
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $236 | $94 | $71 | 41 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $206 | $121 | $79 | 193 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $139 | $85 | $45 | 110 |
84443 Blood test, thyroid stimulating hormone (tsh) | $64 | $16 | $16 | 25 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $62 | $19 | $19 | 16 |
G0009 Administration of pneumococcal vaccine | $59 | $29 | $29 | 18 |
G0008 Administration of influenza virus vaccine | $59 | $29 | $29 | 11 |
80053 Blood test, comprehensive group of blood chemicals | $57 | $10 | $10 | 55 |
80061 Blood test, lipids (cholesterol and triglycerides) | $50 | $13 | $13 | 56 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $35 | $8 | $8 | 19 |
83036 Hemoglobin a1c level | $35 | $10 | $10 | 58 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $30 | $8 | $8 | 57 |
82570 Creatinine level to test for kidney function or muscle injury | $27 | $5 | $5 | 12 |
82043 Urine microalbumin (protein) level | $16 | $6 | $6 | 12 |
36415 Insertion of needle into vein for collection of blood sample | $12 | $8 | $8 | 83 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.