Physician
Internal Medicine
Internal Medicine
MONTROSE, PA
OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC
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 |
|---|---|---|---|---|
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $690 | $282 | $282 | 36 |
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare | $683 | $242 | $188 | 20 |
45380 Biopsy of large bowel using a flexible endoscope | $596 | $191 | $140 | 13 |
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | $542 | $169 | $169 | 28 |
G0105 Colorectal cancer screening; colonoscopy on individual at high risk | $542 | $175 | $175 | 14 |
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $419 | $91 | $68 | 13 |
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $380 | $113 | $90 | 16 |
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $280 | $162 | $129 | 25 |
99284 Emergency department visit with moderate level of medical decision making | $275 | $117 | $83 | 73 |
99204 New patient office or other outpatient visit, 45-59 minutes | $225 | $160 | $83 | 13 |
43450 Dilation of esophagus | $196 | $38 | $30 | 13 |
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | $195 | $128 | $87 | 14 |
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $190 | $123 | $82 | 87 |
99283 Emergency department visit with low level of medical decision making | $175 | $70 | $47 | 212 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $145 | $123 | $123 | 74 |
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $145 | $115 | $88 | 20 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $145 | $122 | $75 | 182 |
99238 Hospital discharge day management, 30 minutes or less | $125 | $78 | $57 | 105 |
99315 Nursing facility discharge day management, 30 minutes or less | $115 | $78 | $61 | 17 |
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $100 | $76 | $55 | 110 |
99282 Emergency department visit with straightforward medical decision making | $100 | $39 | $27 | 16 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $95 | $87 | $51 | 983 |
20610 Aspiration and/or injection of fluid from large joint | $79 | $61 | $43 | 34 |
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 | $77 | $50 | $40 | 15 |
90662 Influenza vaccine split virus, preservative free | $75 | $72 | $72 | 75 |
99212 Established patient office or other outpatient visit, 10-19 minutes | $65 | $54 | $30 | 36 |
G0009 Administration of pneumococcal vaccine | $36 | $29 | $29 | 36 |
96372 Injection of drug or substance under skin or into muscle | $34 | $13 | $10 | 51 |
G0008 Administration of influenza virus vaccine | $29 | $29 | $29 | 77 |
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $21 | $8 | $6 | 90 |
J1030 Injection, methylprednisolone acetate, 40 mg | $20 | $8 | $4 | 30 |
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg | $20 | $5 | $3 | 16 |
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg | $20 | $1 | $1 | 175 |
J1885 Injection, ketorolac tromethamine, per 15 mg | $5 | $1 | $0 | 102 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.