Physician
Family Medicine
Family Medicine
TELLURIDE, CO
INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL
intermountainhealthcare.org/locations/intermountain-health-st-marys-regional-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 |
|---|---|---|---|---|
74177 Ct scan of abdomen and pelvis with contrast | $2,156 | $243 | $181 | 14 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $512 | $180 | $138 | 51 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $486 | $165 | $165 | 11 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $382 | $129 | $90 | 426 |
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $380 | $282 | $282 | 17 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $370 | $130 | $130 | 129 |
91322 Sarscov2 vac 50 mcg/0.5ml im | $353 | $143 | $143 | 174 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $250 | $91 | $54 | 173 |
73502 X-ray of hip, 2-3 views | $210 | $38 | $28 | 13 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $172 | $15 | $11 | 18 |
72100 X-ray of lower and sacral spine, 2-3 views | $172 | $31 | $24 | 12 |
73562 X-ray of knee, 3 views | $147 | $33 | $22 | 55 |
71046 X-ray of chest, 2 views | $145 | $24 | $17 | 18 |
94762 Test to measure oxygen level in blood using ear or finger device continuously overnight | $140 | $27 | $21 | 15 |
73030 X-ray of shoulder, minimum of 2 views | $138 | $27 | $18 | 33 |
96372 Injection of drug or substance under skin or into muscle | $89 | $14 | $8 | 29 |
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | $82 | $79 | $62 | 61 |
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $82 | $63 | $46 | 258 |
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | $82 | $70 | $56 | 64 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $81 | $8 | $8 | 12 |
90662 Influenza vaccine split virus, preservative free | $69 | $67 | $67 | 213 |
0134A Adm sarscv2 bvl 50mcg/.5ml a | $62 | $41 | $41 | 15 |
G0009 Administration of pneumococcal vaccine | $61 | $31 | $31 | 24 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $60 | $8 | $8 | 22 |
G0008 Administration of influenza virus vaccine | $57 | $31 | $31 | 221 |
90480 Admn sarscov2 vacc 1 dose | $56 | $41 | $41 | 172 |
90471 Administration of vaccine | $55 | $21 | $13 | 43 |
82565 Blood creatinine level | $41 | $5 | $5 | 11 |
G0444 Annual depression screening, 5 to 15 minutes | $30 | $19 | $19 | 58 |
90686 Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | $30 | $22 | $22 | 25 |
36415 Insertion of needle into vein for collection of blood sample | $30 | $8 | $8 | 619 |
81002 Urinalysis, manual test | $30 | $3 | $3 | 41 |
96127 Assessment of emotional or behavioral problems | $25 | $5 | $3 | 41 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.