Physician
Physician Assistant
Physician Assistant
MANHATTAN, KS
ASCENSION VIA CHRISTI HOSPITAL MANHATTAN, 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 | $330 | $281 | $281 | 16 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $204 | $101 | $69 | 122 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $204 | $129 | $129 | 57 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $193 | $131 | $131 | 30 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $165 | $102 | $102 | 327 |
91322 Sarscov2 vac 50 mcg/0.5ml im | $150 | $143 | $143 | 15 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $132 | $71 | $46 | 181 |
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | $99 | $50 | $50 | 26 |
71046 X-ray of chest, 2 views | $99 | $26 | $19 | 18 |
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | $95 | $74 | $74 | 14 |
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report | $77 | $11 | $3 | 27 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $77 | $11 | $7 | 11 |
87651 Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | $75 | $34 | $34 | 12 |
90662 Influenza vaccine split virus, preservative free | $73 | $71 | $71 | 50 |
84443 Blood test, thyroid stimulating hormone (tsh) | $62 | $16 | $16 | 12 |
87804 Detection test by immunoassay with direct visual observation for influenza virus | $61 | $16 | $16 | 47 |
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | $55 | $35 | $35 | 12 |
87086 Bacterial colony count, urine | $44 | $8 | $8 | 24 |
0134A Adm sarscv2 bvl 50mcg/.5ml a | $44 | $38 | $38 | 40 |
80053 Blood test, comprehensive group of blood chemicals | $44 | $10 | $10 | 23 |
80061 Blood test, lipids (cholesterol and triglycerides) | $44 | $13 | $13 | 12 |
G0008 Administration of influenza virus vaccine | $42 | $29 | $29 | 57 |
90480 Admn sarscov2 vacc 1 dose | $40 | $38 | $38 | 15 |
G0009 Administration of pneumococcal vaccine | $39 | $29 | $29 | 22 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $39 | $8 | $8 | 30 |
G0444 Annual depression screening, 5 to 15 minutes | $33 | $14 | $14 | 323 |
G0442 Annual alcohol misuse screening, 5 to 15 minutes | $33 | $14 | $14 | 413 |
81001 Manual urinalysis test with examination using microscope, automated | $22 | $3 | $3 | 40 |
91313 Sarscov2 vac bvl 50mcg/0.5ml | $0 | $0 | $0 | 14 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.