Physician
Physician Assistant, Medical
Physician Assistant, Medical
LAMBERTVILLE, MI
MERCY ST VINCENT MEDICAL CENTER
mercy.com/locations/hospitals/toledo/mercy-health-st-vincent-medical-center
PROMEDICA TOLEDO HOSPITAL
promedica.org/locations-and-doctors/location/hospital/promedica-toledo-hospital
PROMEDICA MONROE REGIONAL HOSPITAL
promedica.org/locations-and-doctors/location/hospital/promedica-monroe-regional-hospital
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 |
|---|---|---|---|---|
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $360 | $273 | $273 | 28 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $276 | $128 | $128 | 34 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $272 | $129 | $129 | 14 |
99204 New patient office or other outpatient visit, 45-59 minutes | $247 | $136 | $76 | 13 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $215 | $103 | $103 | 141 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $191 | $104 | $66 | 88 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $134 | $72 | $40 | 304 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $131 | $76 | $76 | 53 |
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) | $85 | $23 | $23 | 13 |
73502 X-ray of hip, 2-3 views | $73 | $32 | $16 | 17 |
73562 X-ray of knee, 3 views | $63 | $28 | $18 | 16 |
72040 X-ray of upper spine, 2-3 views | $54 | $27 | $16 | 11 |
73130 X-ray of hand, minimum of 3 views | $53 | $26 | $16 | 12 |
73030 X-ray of shoulder, minimum of 2 views | $52 | $24 | $14 | 15 |
72100 X-ray of lower and sacral spine, 2-3 views | $48 | $27 | $12 | 12 |
G0009 Administration of pneumococcal vaccine | $47 | $28 | $28 | 28 |
G0008 Administration of influenza virus vaccine | $47 | $29 | $29 | 63 |
71046 X-ray of chest, 2 views | $40 | $21 | $15 | 55 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $35 | $12 | $7 | 13 |
83036 Hemoglobin a1c level | $32 | $10 | $10 | 39 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.