Physician
Family Medicine
Family Medicine
MADISON, WI
SSM HEALTH ST MARY'S HOSPITAL - MADISON
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 |
|---|---|---|---|---|
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $2,150 | $159 | $159 | 11 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $1,225 | $124 | $124 | 110 |
99496 Transitional care management services for problem of high complexity | $729 | $265 | $212 | 14 |
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $665 | $282 | $282 | 19 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $473 | $166 | $122 | 26 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $335 | $121 | $73 | 119 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $243 | $14 | $9 | 17 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $234 | $85 | $45 | 61 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $163 | $76 | $76 | 15 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $87 | $8 | $8 | 19 |
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test | $81 | $6 | $6 | 28 |
G0009 Administration of pneumococcal vaccine | $53 | $29 | $29 | 19 |
G0008 Administration of influenza virus vaccine | $53 | $29 | $29 | 18 |
36415 Insertion of needle into vein for collection of blood sample | $40 | $8 | $8 | 246 |
Search published hospital rates side by side to find lower cash prices and stronger negotiating leverage.
Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.