Physician
Internal Medicine
Internal Medicine
SYRACUSE, NY
OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC
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 | $391 | $281 | $281 | 13 |
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $280 | $167 | $122 | 12 |
99284 Emergency department visit with moderate level of medical decision making | $275 | $117 | $93 | 13 |
99204 New patient office or other outpatient visit, 45-59 minutes | $265 | $160 | $101 | 14 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $260 | $158 | $158 | 11 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $219 | $124 | $124 | 98 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $179 | $121 | $81 | 384 |
99283 Emergency department visit with low level of medical decision making | $175 | $70 | $51 | 118 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $118 | $86 | $56 | 320 |
99282 Emergency department visit with straightforward medical decision making | $100 | $41 | $21 | 38 |
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $100 | $76 | $61 | 14 |
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 | $94 | $50 | $40 | 18 |
90662 Influenza vaccine split virus, preservative free | $82 | $68 | $68 | 39 |
82306 Vitamin d-3 level | $64 | $28 | $28 | 41 |
80053 Blood test, comprehensive group of blood chemicals | $64 | $9 | $9 | 12 |
G0009 Administration of pneumococcal vaccine | $54 | $30 | $30 | 13 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $53 | $19 | $19 | 22 |
80061 Blood test, lipids (cholesterol and triglycerides) | $53 | $13 | $13 | 115 |
G0447 Face-to-face behavioral counseling for obesity, 15 minutes | $52 | $23 | $23 | 60 |
96372 Injection of drug or substance under skin or into muscle | $50 | $14 | $9 | 31 |
80076 Liver function blood test panel | $47 | $8 | $8 | 99 |
84443 Blood test, thyroid stimulating hormone (tsh) | $47 | $16 | $16 | 69 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $46 | $8 | $8 | 110 |
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | $45 | $24 | $24 | 58 |
82607 Cyanocobalamin (vitamin b-12) level | $43 | $13 | $13 | 14 |
G0444 Annual depression screening, 5 to 15 minutes | $40 | $17 | $17 | 22 |
G0008 Administration of influenza virus vaccine | $38 | $29 | $29 | 49 |
83036 Hemoglobin a1c level | $31 | $9 | $9 | 75 |
87086 Bacterial colony count, urine | $30 | $8 | $8 | 19 |
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg | $29 | $5 | $3 | 17 |
G0442 Annual alcohol misuse screening, 5 to 15 minutes | $27 | $17 | $17 | 28 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $23 | $8 | $8 | 122 |
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $21 | $8 | $6 | 39 |
82248 Bilirubin level, direct | $21 | $4 | $4 | 11 |
82043 Urine microalbumin (protein) level | $16 | $5 | $5 | 20 |
81003 Automated urinalysis test | $16 | $2 | $2 | 29 |
82570 Creatinine level to test for kidney function or muscle injury | $15 | $5 | $5 | 19 |
36415 Insertion of needle into vein for collection of blood sample | $10 | $8 | $8 | 135 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.