Physician
Family Medicine
Family Medicine
LEXINGTON, KY
MEMORIAL HOSPITAL OF SOUTH BEND
locations.beaconhealthsystem.org/in/south-bend/memorial-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 |
|---|---|---|---|---|
99496 Transitional care management services for problem of high complexity | $500 | $257 | $193 | 15 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $298 | $167 | $112 | 81 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $229 | $119 | $84 | 395 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $214 | $84 | $67 | 46 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $199 | $120 | $120 | 86 |
83970 Parathormone (parathyroid hormone) level | $146 | $40 | $40 | 30 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $108 | $75 | $75 | 42 |
82306 Vitamin d-3 level | $106 | $29 | $29 | 45 |
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | $102 | $45 | $45 | 23 |
80061 Blood test, lipids (cholesterol and triglycerides) | $71 | $13 | $13 | 92 |
84443 Blood test, thyroid stimulating hormone (tsh) | $66 | $16 | $16 | 101 |
82607 Cyanocobalamin (vitamin b-12) level | $56 | $15 | $15 | 47 |
82728 Ferritin (blood protein) level | $56 | $13 | $13 | 12 |
84481 Thyroid hormone, t3 measurement, free | $48 | $17 | $17 | 29 |
83036 Hemoglobin a1c level | $46 | $10 | $10 | 106 |
G0008 Administration of influenza virus vaccine | $46 | $29 | $29 | 45 |
80053 Blood test, comprehensive group of blood chemicals | $43 | $10 | $10 | 121 |
80076 Liver function blood test panel | $43 | $8 | $8 | 13 |
84439 Thyroxine (thyroid chemical), free | $43 | $9 | $9 | 74 |
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | $35 | $8 | $8 | 12 |
87088 Bacterial urine culture | $33 | $8 | $8 | 25 |
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | $33 | $16 | $16 | 13 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $33 | $8 | $8 | 34 |
G0009 Administration of pneumococcal vaccine | $29 | $22 | $22 | 12 |
87077 Bacterial culture for aerobic isolates | $29 | $8 | $8 | 26 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $28 | $8 | $8 | 152 |
83550 Iron binding capacity | $27 | $9 | $9 | 13 |
82044 Urine microalbumin (protein) analysis | $24 | $6 | $6 | 38 |
83540 Iron level | $20 | $6 | $6 | 14 |
84550 Uric acid level, blood | $20 | $4 | $4 | 17 |
83735 Magnesium level | $20 | $7 | $7 | 65 |
36415 Insertion of needle into vein for collection of blood sample | $14 | $8 | $8 | 270 |
84100 Phosphate level | $12 | $5 | $5 | 28 |
81002 Urinalysis, manual test | $12 | $3 | $3 | 30 |
81001 Manual urinalysis test with examination using microscope, automated | $12 | $3 | $3 | 25 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.