Physician
Family Medicine
Family Medicine
SULLIVANS IS, SC
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 | $794 | $275 | $275 | 46 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $364 | $170 | $126 | 157 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $346 | $157 | $157 | 12 |
99497 Advance care planning, first 30 minutes | $257 | $80 | $79 | 18 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $254 | $121 | $121 | 175 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $247 | $121 | $85 | 671 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $164 | $84 | $51 | 167 |
90662 Influenza vaccine split virus, preservative free | $144 | $72 | $72 | 64 |
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $126 | $60 | $46 | 18 |
90480 Admn sarscov2 vacc 1 dose | $125 | $39 | $39 | 14 |
91320 Sarscv2 vac 30mcg trs-suc im | $108 | $106 | $106 | 11 |
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | $86 | $25 | $25 | 12 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $81 | $14 | $11 | 57 |
G0009 Administration of pneumococcal vaccine | $80 | $28 | $28 | 46 |
G0008 Administration of influenza virus vaccine | $80 | $29 | $29 | 67 |
90471 Administration of vaccine | $80 | $18 | $11 | 20 |
96372 Injection of drug or substance under skin or into muscle | $65 | $13 | $10 | 29 |
0124A Adm sarscv2 bvl 30mcg/.3ml a | $60 | $35 | $35 | 12 |
87804 Detection test by immunoassay with direct visual observation for influenza virus | $54 | $16 | $16 | 27 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $37 | $7 | $7 | 76 |
36415 Insertion of needle into vein for collection of blood sample | $20 | $8 | $8 | 423 |
81003 Automated urinalysis test | $12 | $2 | $2 | 70 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.