Physician
Family Medicine
Family Medicine
DELPHOS, OH
MERCY HEALTH-ST RITA'S 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 |
|---|---|---|---|---|
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $360 | $282 | $282 | 19 |
99495 Transitional care management services for problem of at least moderate complexity | $305 | $185 | $148 | 19 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $276 | $157 | $157 | 23 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $272 | $158 | $158 | 12 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $267 | $171 | $111 | 26 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $215 | $122 | $122 | 212 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $191 | $120 | $71 | 387 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $134 | $85 | $47 | 155 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $131 | $76 | $76 | 57 |
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 | $87 | $49 | $34 | 12 |
G0009 Administration of pneumococcal vaccine | $47 | $29 | $29 | 19 |
G0008 Administration of influenza virus vaccine | $47 | $29 | $29 | 59 |
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay | $45 | $16 | $16 | 14 |
83036 Hemoglobin a1c level | $32 | $10 | $10 | 75 |
81003 Automated urinalysis test | $7 | $2 | $2 | 22 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.