Physician
Internal Medicine
Internal Medicine
BEND, OR
ST CHARLES MEDICAL CENTER PRINEVILLE
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 |
|---|---|---|---|---|
99496 Transitional care management services for problem of high complexity | $746 | $271 | $217 | 44 |
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $645 | $280 | $280 | 28 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $538 | $153 | $153 | 17 |
99495 Transitional care management services for problem of at least moderate complexity | $529 | $200 | $160 | 16 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $470 | $175 | $122 | 60 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $376 | $127 | $127 | 458 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $351 | $124 | $83 | 1,206 |
91322 Sarscov2 vac 50 mcg/0.5ml im | $329 | $143 | $143 | 34 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $239 | $88 | $47 | 27 |
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 | $172 | $51 | $41 | 16 |
90662 Influenza vaccine split virus, preservative free | $158 | $72 | $72 | 98 |
83970 Parathormone (parathyroid hormone) level | $104 | $40 | $40 | 41 |
90480 Admn sarscov2 vacc 1 dose | $100 | $40 | $40 | 34 |
83880 Natriuretic peptide (heart and blood vessel protein) level | $89 | $38 | $38 | 13 |
82306 Vitamin d-3 level | $75 | $29 | $29 | 106 |
G0009 Administration of pneumococcal vaccine | $67 | $30 | $30 | 31 |
G0008 Administration of influenza virus vaccine | $66 | $30 | $30 | 101 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $55 | $14 | $9 | 60 |
96372 Injection of drug or substance under skin or into muscle | $54 | $14 | $11 | 22 |
99406 Smoking and tobacco use intensive counseling, 4-10 minutes | $49 | $13 | $13 | 23 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $46 | $19 | $19 | 96 |
84153 Psa (prostate specific antigen) measurement, total | $46 | $18 | $18 | 25 |
84443 Blood test, thyroid stimulating hormone (tsh) | $43 | $16 | $16 | 229 |
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay | $40 | $16 | $16 | 15 |
82607 Cyanocobalamin (vitamin b-12) level | $38 | $15 | $15 | 106 |
82728 Ferritin (blood protein) level | $35 | $13 | $13 | 37 |
80061 Blood test, lipids (cholesterol and triglycerides) | $34 | $13 | $13 | 750 |
84466 Transferrin (iron binding protein) level | $32 | $13 | $13 | 37 |
84484 Troponin (protein) analysis, quantitative | $29 | $12 | $12 | 15 |
80053 Blood test, comprehensive group of blood chemicals | $27 | $10 | $10 | 466 |
85379 Coagulation function measurement, d-dimer; quantitative | $26 | $10 | $10 | 19 |
83036 Hemoglobin a1c level | $25 | $9 | $9 | 294 |
84439 Thyroxine (thyroid chemical), free | $23 | $9 | $9 | 22 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $22 | $8 | $8 | 106 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $20 | $8 | $8 | 487 |
83540 Iron level | $17 | $6 | $6 | 37 |
82340 Urine calcium level | $16 | $6 | $6 | 12 |
83615 Lactate dehydrogenase (enzyme) level | $16 | $6 | $6 | 15 |
82043 Urine microalbumin (protein) level | $15 | $6 | $6 | 95 |
36415 Insertion of needle into vein for collection of blood sample | $15 | $7 | $7 | 1,004 |
85046 Red blood count automated, with additional calculations | $14 | $5 | $5 | 15 |
82565 Blood creatinine level | $13 | $5 | $5 | 17 |
82570 Creatinine level to test for kidney function or muscle injury | $13 | $5 | $5 | 95 |
86140 Measurement c-reactive protein for detection of infection or inflammation | $13 | $5 | $5 | 23 |
81001 Manual urinalysis test with examination using microscope, automated | $8 | $3 | $3 | 76 |
85652 Red blood cell sedimentation rate, to detect inflammation, automated | $7 | $3 | $3 | 19 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.