Physician
Family Medicine
Family Medicine
JEFFERSON CITY, MO
SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY
ssmhealth.com/locations/mid-missouri/st-marys-hospital-jefferson-city
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 |
|---|---|---|---|---|
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $306 | $156 | $156 | 17 |
91320 Sarscv2 vac 30mcg trs-suc im | $288 | $128 | $128 | 21 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $263 | $156 | $156 | 61 |
87502 Detection test by nucleic acid for multiple types influenza virus | $240 | $94 | $94 | 15 |
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $217 | $125 | $92 | 31 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $215 | $119 | $71 | 762 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $174 | $121 | $121 | 184 |
99239 Hospital discharge day management, more than 30 minutes | $167 | $109 | $85 | 35 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $150 | $84 | $51 | 72 |
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $139 | $75 | $59 | 114 |
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | $125 | $50 | $50 | 16 |
90662 Influenza vaccine split virus, preservative free | $115 | $72 | $72 | 154 |
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 | $98 | $48 | $39 | 17 |
83880 Natriuretic peptide (heart and blood vessel protein) level | $94 | $35 | $35 | 11 |
82306 Vitamin d-3 level | $82 | $29 | $29 | 101 |
90480 Admn sarscov2 vacc 1 dose | $58 | $40 | $40 | 21 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $52 | $19 | $19 | 68 |
84153 Psa (prostate specific antigen) measurement, total | $52 | $18 | $18 | 99 |
84481 Thyroid hormone, t3 measurement, free | $48 | $17 | $17 | 64 |
84443 Blood test, thyroid stimulating hormone (tsh) | $48 | $16 | $16 | 276 |
G0009 Administration of pneumococcal vaccine | $43 | $30 | $30 | 17 |
82607 Cyanocobalamin (vitamin b-12) level | $43 | $14 | $14 | 19 |
96372 Injection of drug or substance under skin or into muscle | $42 | $13 | $8 | 18 |
80061 Blood test, lipids (cholesterol and triglycerides) | $41 | $13 | $13 | 468 |
G0008 Administration of influenza virus vaccine | $37 | $30 | $30 | 161 |
80053 Blood test, comprehensive group of blood chemicals | $32 | $10 | $10 | 195 |
83036 Hemoglobin a1c level | $30 | $9 | $9 | 253 |
G0444 Annual depression screening, 5 to 15 minutes | $27 | $17 | $17 | 65 |
84439 Thyroxine (thyroid chemical), free | $26 | $9 | $9 | 65 |
J1040 Injection, methylprednisolone acetate, 80 mg | $26 | $12 | $7 | 17 |
83550 Iron binding capacity | $25 | $9 | $9 | 18 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $24 | $8 | $8 | 279 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $24 | $8 | $8 | 302 |
83735 Magnesium level | $19 | $7 | $7 | 19 |
83540 Iron level | $18 | $6 | $6 | 18 |
82043 Urine microalbumin (protein) level | $16 | $5 | $5 | 63 |
82570 Creatinine level to test for kidney function or muscle injury | $15 | $5 | $5 | 60 |
84550 Uric acid level, blood | $13 | $4 | $4 | 30 |
36415 Insertion of needle into vein for collection of blood sample | $10 | $8 | $8 | 572 |
81003 Automated urinalysis test | $7 | $2 | $2 | 16 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.