Physician
Family Medicine
Family Medicine
NORTH MANKATO, MN
MAYO CLINIC HEALTH SYSTEM - MANKATO
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 | $745 | $281 | $281 | 20 |
99495 Transitional care management services for problem of at least moderate complexity | $586 | $201 | $159 | 24 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $519 | $164 | $164 | 11 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $519 | $164 | $164 | 13 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $406 | $129 | $129 | 193 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $364 | $127 | $85 | 430 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $258 | $90 | $60 | 187 |
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $179 | $62 | $49 | 56 |
91322 Sarscov2 vac 50 mcg/0.5ml im | $148 | $143 | $143 | 14 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $109 | $19 | $19 | 46 |
84153 Psa (prostate specific antigen) measurement, total | $104 | $18 | $18 | 16 |
80061 Blood test, lipids (cholesterol and triglycerides) | $100 | $13 | $13 | 200 |
84443 Blood test, thyroid stimulating hormone (tsh) | $97 | $16 | $16 | 65 |
82607 Cyanocobalamin (vitamin b-12) level | $89 | $15 | $15 | 38 |
82746 Folic acid level, serum | $87 | $14 | $14 | 24 |
82728 Ferritin (blood protein) level | $81 | $13 | $13 | 45 |
80053 Blood test, comprehensive group of blood chemicals | $79 | $10 | $10 | 140 |
90662 Influenza vaccine split virus, preservative free | $74 | $72 | $72 | 41 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $63 | $8 | $8 | 143 |
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test | $55 | $6 | $6 | 163 |
83550 Iron binding capacity | $52 | $9 | $9 | 26 |
G0009 Administration of pneumococcal vaccine | $51 | $30 | $30 | 20 |
83036 Hemoglobin a1c level | $51 | $10 | $10 | 188 |
87088 Bacterial urine culture | $48 | $8 | $8 | 19 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $45 | $14 | $10 | 54 |
96372 Injection of drug or substance under skin or into muscle | $45 | $14 | $10 | 35 |
G0008 Administration of influenza virus vaccine | $42 | $30 | $30 | 44 |
90480 Admn sarscov2 vacc 1 dose | $41 | $40 | $40 | 14 |
83540 Iron level | $38 | $6 | $6 | 26 |
85610 Blood test, clotting time | $29 | $4 | $4 | 121 |
36415 Insertion of needle into vein for collection of blood sample | $28 | $8 | $8 | 440 |
81001 Manual urinalysis test with examination using microscope, automated | $27 | $3 | $3 | 33 |
82570 Creatinine level to test for kidney function or muscle injury | $27 | $5 | $5 | 60 |
84550 Uric acid level, blood | $27 | $4 | $4 | 15 |
82565 Blood creatinine level | $27 | $5 | $5 | 12 |
84156 Total protein level, urine | $22 | $4 | $4 | 60 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.