Physician
Family Medicine
Family Medicine
BELLEVUE, IA
MERCYONE DUBUQUE MEDICAL CENTER
mercyone.org/dubuque/location/mercyone-dubuque-medical-center-1
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 |
|---|---|---|---|---|
77067 Screening mammography | $339 | $118 | $118 | 18 |
99495 Transitional care management services for problem of at least moderate complexity | $328 | $189 | $151 | 17 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $319 | $166 | $115 | 214 |
90671 Pneumococcal conjugate vaccine, 15 valent (pcv15), for intramuscular use | $294 | $241 | $241 | 28 |
20610 Aspiration and/or injection of fluid from large joint | $235 | $72 | $51 | 19 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $231 | $119 | $74 | 415 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $207 | $154 | $154 | 11 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $198 | $153 | $153 | 25 |
17000 Destruction of precancer skin growth, 1 growth | $191 | $58 | $41 | 43 |
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $187 | $100 | $76 | 100 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $163 | $84 | $54 | 266 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $140 | $119 | $119 | 158 |
77063 Screening 3d breast mammography | $127 | $49 | $49 | 18 |
90662 Influenza vaccine split virus, preservative free | $87 | $72 | $72 | 50 |
82306 Vitamin d-3 level | $82 | $29 | $29 | 35 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $57 | $13 | $8 | 50 |
71046 X-ray of chest, 2 views | $54 | $18 | $13 | 35 |
69209 Removal of impacted ear wax by washing | $48 | $18 | $10 | 14 |
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $43 | $21 | $14 | 150 |
82607 Cyanocobalamin (vitamin b-12) level | $42 | $15 | $15 | 13 |
J1040 Injection, methylprednisolone acetate, 80 mg | $40 | $12 | $9 | 27 |
G0444 Annual depression screening, 5 to 15 minutes | $39 | $17 | $17 | 103 |
82728 Ferritin (blood protein) level | $38 | $13 | $13 | 26 |
G0008 Administration of influenza virus vaccine | $36 | $29 | $29 | 55 |
G0009 Administration of pneumococcal vaccine | $36 | $29 | $29 | 34 |
80053 Blood test, comprehensive group of blood chemicals | $30 | $10 | $10 | 53 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $28 | $19 | $19 | 43 |
84153 Psa (prostate specific antigen) measurement, total | $28 | $18 | $18 | 14 |
17003 Destruction of precancer skin growth, 2-14 growths | $27 | $6 | $4 | 101 |
84443 Blood test, thyroid stimulating hormone (tsh) | $26 | $16 | $16 | 69 |
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $24 | $8 | $5 | 33 |
80061 Blood test, lipids (cholesterol and triglycerides) | $20 | $13 | $13 | 283 |
80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) | $20 | $7 | $7 | 338 |
83735 Magnesium level | $19 | $7 | $7 | 71 |
82043 Urine microalbumin (protein) level | $17 | $6 | $6 | 43 |
82570 Creatinine level to test for kidney function or muscle injury | $15 | $5 | $5 | 43 |
83036 Hemoglobin a1c level | $15 | $9 | $9 | 140 |
82565 Blood creatinine level | $15 | $5 | $5 | 341 |
84439 Thyroxine (thyroid chemical), free | $14 | $9 | $9 | 15 |
84520 Urea nitrogen level to assess kidney function, quantitative | $12 | $4 | $4 | 337 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $12 | $8 | $8 | 129 |
85610 Blood test, clotting time | $11 | $4 | $4 | 170 |
36415 Insertion of needle into vein for collection of blood sample | $11 | $8 | $8 | 650 |
81000 Manual urinalysis test with examination using microscope, non-automated | $10 | $4 | $4 | 24 |
P9604 Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge | $9 | $9 | $9 | 32 |
84460 Liver enzyme (sgpt), level | $8 | $5 | $5 | 204 |
85652 Red blood cell sedimentation rate, to detect inflammation, automated | $8 | $3 | $3 | 13 |
84450 Liver enzyme (sgot), level | $8 | $5 | $5 | 204 |
81002 Urinalysis, manual test | $8 | $3 | $3 | 40 |
85014 Red blood cell concentration measurement | $7 | $2 | $2 | 28 |
Showing top 50 of 52 procedures by charge amount.
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.