Annual Physical ExamChronic Disease ManagementPreventive ScreeningBlood Pressure ManagementDiabetes ManagementCholesterol ManagementImmunizationsEKGSpirometryHealth Risk Assessment

Based on specialty. Actual services may vary — contact the provider's office to confirm.

MIPS Quality Score

PY 2023

76.5/100High

Quality

70.5

Promoting Interoperability

82.0

Improvement Activities

40.0

Cost

66.2

MIPS (Merit-based Incentive Payment System) scores measure quality, cost, and improvement activities. Higher is better. Learn more at qpp.cms.gov

Procedure Pricing (Medicare Data)

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
99496 Transitional care management services for problem of high complexity	$419	$249	$198	33
87636 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b	$352	$140	$140	16
99495 Transitional care management services for problem of at least moderate complexity	$324	$189	$147	37
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	$319	$282	$282	18
99204 New patient office or other outpatient visit, 45-59 minutes	$289	$155	$90	16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	$243	$119	$89	33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	$237	$120	$120	675
99214 Established patient office or other outpatient visit, 30-39 minutes	$197	$118	$76	702
99203 New patient office or other outpatient visit, 30-44 minutes	$188	$103	$77	45
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	$174	$154	$154	27
83880 Natriuretic peptide (heart and blood vessel protein) level	$142	$38	$38	22
99238 Hospital discharge day management, 30 minutes or less	$142	$74	$56	39
90662 Influenza vaccine split virus, preservative free	$136	$71	$71	140
99213 Established patient office or other outpatient visit, 20-29 minutes	$133	$83	$53	896
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	$125	$73	$58	294
72100 X-ray of lower and sacral spine, 2-3 views	$117	$37	$26	25
82306 Vitamin d-3 level	$115	$29	$29	754
84403 Testosterone (hormone) level, total	$108	$25	$25	31
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	$102	$50	$50	43
72040 X-ray of upper spine, 2-3 views	$102	$36	$22	19
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	$99	$54	$42	186
73030 X-ray of shoulder, minimum of 2 views	$93	$32	$20	19
G0103 Prostate cancer screening; prostate specific antigen test (psa)	$92	$19	$19	252
71046 X-ray of chest, 2 views	$91	$31	$20	807
73502 X-ray of hip, 2-3 views	$87	$43	$29	20
G0444 Annual depression screening, 5 to 15 minutes	$79	$17	$17	273
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	$79	$48	$36	67
70210 X-ray of paranasal sinus, 1-2 views	$79	$29	$19	42
84443 Blood test, thyroid stimulating hormone (tsh)	$73	$16	$16	838
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	$72	$44	$35	42
82607 Cyanocobalamin (vitamin b-12) level	$64	$15	$15	41
82746 Folic acid level, serum	$62	$14	$14	14
G0179 Physician or allowed practitioner re-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 a	$60	$38	$28	29
82728 Ferritin (blood protein) level	$58	$13	$13	84
80061 Blood test, lipids (cholesterol and triglycerides)	$57	$13	$13	730
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	$53	$13	$9	497
G0442 Annual alcohol misuse screening, 5 to 15 minutes	$46	$17	$17	451
83036 Hemoglobin a1c level	$43	$10	$10	291
96372 Injection of drug or substance under skin or into muscle	$42	$13	$9	144
84439 Thyroxine (thyroid chemical), free	$40	$9	$9	18
80053 Blood test, comprehensive group of blood chemicals	$38	$10	$10	994
83550 Iron binding capacity	$38	$9	$9	84
G0009 Administration of pneumococcal vaccine	$36	$28	$28	27
G0008 Administration of influenza virus vaccine	$36	$28	$28	141
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	$35	$8	$8	1,042
83735 Magnesium level	$32	$7	$7	47
82550 Creatine kinase (cardiac enzyme) level, total	$30	$6	$6	383
83540 Iron level	$29	$6	$6	84
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	$28	$13	$6	12
99406 Smoking and tobacco use intensive counseling, 4-10 minutes	$27	$14	$14	23

Showing top 50 of 61 procedures by charge amount.

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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.

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