Physician
Internal Medicine
Internal Medicine
TROY, OH
UPPER VALLEY MEDICAL CENTER
premierhealth.com/locations/hospitals/upper-valley-medical-center
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 | $397 | $283 | $283 | 151 |
99496 Transitional care management services for problem of high complexity | $365 | $267 | $214 | 27 |
90670 Pneumococcal vaccine, 13-valent | $350 | $253 | $253 | 13 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $240 | $161 | $161 | 61 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $233 | $164 | $116 | 17 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $176 | $123 | $82 | 282 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $170 | $125 | $125 | 87 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $144 | $75 | $75 | 138 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $121 | $86 | $55 | 653 |
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 | $101 | $50 | $35 | 20 |
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | $50 | $41 | $41 | 23 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $45 | $14 | $9 | 15 |
96372 Injection of drug or substance under skin or into muscle | $40 | $14 | $10 | 64 |
G0008 Administration of influenza virus vaccine | $38 | $29 | $29 | 139 |
94640 Inhalation treatment for airway obstruction or sputum production | $32 | $8 | $6 | 17 |
G0009 Administration of pneumococcal vaccine | $30 | $29 | $29 | 165 |
83036 Hemoglobin a1c level | $25 | $9 | $9 | 34 |
87804 Detection test by immunoassay with direct visual observation for influenza virus | $20 | $16 | $16 | 40 |
82962 Blood glucose (sugar) test performed by hand-held instrument | $13 | $3 | $3 | 113 |
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | $10 | $7 | $4 | 34 |
81002 Urinalysis, manual test | $10 | $3 | $3 | 20 |
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg | $9 | $1 | $1 | 138 |
J1885 Injection, ketorolac tromethamine, per 15 mg | $7 | $1 | $0 | 34 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.