Physician
Family Medicine
Family Medicine
ELMA, WA
SUMMIT PACIFIC MEDICAL CENTER
summitpacificmedicalcenter.org/summit-pacific-medical-center
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 |
|---|---|---|---|---|
91322 Sarscov2 vac 50 mcg/0.5ml im | $219 | $143 | $143 | 18 |
92250 Photography of the retina | $170 | $38 | $18 | 27 |
90662 Influenza vaccine split virus, preservative free | $52 | $51 | $51 | 58 |
90480 Admn sarscov2 vacc 1 dose | $50 | $41 | $41 | 26 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $50 | $15 | $5 | 13 |
G0008 Administration of influenza virus vaccine | $31 | $25 | $25 | 81 |
83036 Hemoglobin a1c level | $19 | $10 | $10 | 224 |
36415 Insertion of needle into vein for collection of blood sample | $18 | $8 | $8 | 85 |
90686 Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | $15 | $15 | $15 | 25 |
82043 Urine microalbumin (protein) level | $9 | $6 | $6 | 53 |
81002 Urinalysis, manual test | $6 | $3 | $3 | 33 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.