Physician
Family Medicine
Family Medicine
SAN MARINO, CA
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 |
|---|---|---|---|---|
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $400 | $140 | $140 | 53 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $258 | $192 | $131 | 18 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $204 | $132 | $81 | 389 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $152 | $74 | $42 | 248 |
90662 Influenza vaccine split virus, preservative free | $100 | $72 | $72 | 39 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $75 | $16 | $13 | 20 |
90688 Influenza vaccine, quadrivalent, 0.5 ml dosage | $50 | $20 | $20 | 12 |
96372 Injection of drug or substance under skin or into muscle | $30 | $16 | $8 | 27 |
G0008 Administration of influenza virus vaccine | $27 | $26 | $26 | 48 |
36415 Insertion of needle into vein for collection of blood sample | $25 | $8 | $8 | 105 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.