Physician
Family Medicine
Family Medicine
LA CROSSE, WI
GUNDERSEN LUTHERAN MEDICAL CENTER
gundersenhealth.org/locations/gundersen-lutheran-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 |
|---|---|---|---|---|
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $1,172 | $124 | $124 | 142 |
99496 Transitional care management services for problem of high complexity | $731 | $265 | $187 | 13 |
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes | $588 | $53 | $41 | 38 |
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $539 | $280 | $280 | 15 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $335 | $122 | $74 | 281 |
91320 Sarscv2 vac 30mcg trs-suc im | $288 | $128 | $128 | 42 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $243 | $14 | $9 | 45 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $235 | $86 | $42 | 50 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $163 | $75 | $75 | 58 |
96372 Injection of drug or substance under skin or into muscle | $110 | $14 | $10 | 32 |
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $106 | $22 | $15 | 28 |
0134A Adm sarscv2 bvl 50mcg/.5ml a | $90 | $39 | $39 | 21 |
90480 Admn sarscov2 vacc 1 dose | $90 | $39 | $39 | 42 |
G0009 Administration of pneumococcal vaccine | $53 | $29 | $29 | 16 |
G0008 Administration of influenza virus vaccine | $53 | $29 | $29 | 66 |
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | $13 | $2 | $1 | 31 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.