Physician
Family Medicine
Family Medicine
ORLAND PARK, IL
OSF LITTLE COMPANY OF MARY MEDICAL CENTER
osfhealthcare.org/locations/osf-little-company-of-mary-medical-center-evergreen-park-121895
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 | $851 | $282 | $282 | 17 |
99496 Transitional care management services for problem of high complexity | $496 | $287 | $226 | 54 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $352 | $172 | $172 | 15 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $340 | $172 | $172 | 45 |
0241U Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | $256 | $140 | $140 | 25 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $229 | $134 | $134 | 477 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $229 | $133 | $87 | 645 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $157 | $94 | $64 | 164 |
82306 Vitamin d-3 level | $152 | $29 | $29 | 22 |
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | $114 | $54 | $42 | 33 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $103 | $76 | $76 | 148 |
84153 Psa (prostate specific antigen) measurement, total | $94 | $18 | $18 | 22 |
84443 Blood test, thyroid stimulating hormone (tsh) | $86 | $16 | $16 | 228 |
82746 Folic acid level, serum | $77 | $14 | $14 | 32 |
82607 Cyanocobalamin (vitamin b-12) level | $77 | $15 | $15 | 41 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $72 | $15 | $10 | 61 |
82728 Ferritin (blood protein) level | $70 | $13 | $13 | 12 |
80061 Blood test, lipids (cholesterol and triglycerides) | $69 | $13 | $13 | 523 |
96372 Injection of drug or substance under skin or into muscle | $62 | $15 | $10 | 23 |
G0009 Administration of pneumococcal vaccine | $55 | $32 | $32 | 17 |
80053 Blood test, comprehensive group of blood chemicals | $55 | $10 | $10 | 518 |
G0008 Administration of influenza virus vaccine | $55 | $32 | $32 | 158 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $52 | $19 | $19 | 16 |
83036 Hemoglobin a1c level | $50 | $9 | $9 | 250 |
84439 Thyroxine (thyroid chemical), free | $46 | $9 | $9 | 222 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $44 | $8 | $8 | 105 |
80076 Liver function blood test panel | $42 | $7 | $7 | 14 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $40 | $8 | $8 | 465 |
83735 Magnesium level | $34 | $7 | $7 | 11 |
83540 Iron level | $33 | $6 | $6 | 13 |
82043 Urine microalbumin (protein) level | $30 | $6 | $6 | 79 |
84460 Liver enzyme (sgpt), level | $28 | $5 | $5 | 19 |
84450 Liver enzyme (sgot), level | $28 | $5 | $5 | 19 |
82570 Creatinine level to test for kidney function or muscle injury | $27 | $5 | $5 | 79 |
82565 Blood creatinine level | $26 | $5 | $5 | 21 |
84520 Urea nitrogen level to assess kidney function, quantitative | $20 | $4 | $4 | 19 |
85610 Blood test, clotting time | $20 | $4 | $4 | 48 |
36415 Insertion of needle into vein for collection of blood sample | $20 | $8 | $8 | 811 |
81003 Automated urinalysis test | $12 | $2 | $2 | 45 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.