Physician
Family Medicine
Family Medicine
AMERICAN FORK, UT
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 | $368 | $262 | $262 | 28 |
99495 Transitional care management services for problem of at least moderate complexity | $340 | $194 | $154 | 18 |
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | $315 | $51 | $51 | 36 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $280 | $147 | $147 | 14 |
77080 Dxa bone density measurement of hip, pelvis, spine | $270 | $36 | $36 | 15 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $260 | $122 | $122 | 229 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $200 | $121 | $77 | 552 |
91320 Sarscv2 vac 30mcg trs-suc im | $160 | $128 | $128 | 49 |
73562 X-ray of knee, 3 views | $158 | $38 | $25 | 12 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $130 | $86 | $53 | 277 |
90662 Influenza vaccine split virus, preservative free | $126 | $71 | $71 | 93 |
71046 X-ray of chest, 2 views | $101 | $31 | $23 | 32 |
72100 X-ray of lower and sacral spine, 2-3 views | $86 | $35 | $21 | 12 |
90480 Admn sarscov2 vacc 1 dose | $50 | $39 | $39 | 49 |
96372 Injection of drug or substance under skin or into muscle | $50 | $13 | $6 | 78 |
83036 Hemoglobin a1c level | $45 | $10 | $10 | 340 |
G0008 Administration of influenza virus vaccine | $38 | $29 | $29 | 94 |
G0009 Administration of pneumococcal vaccine | $38 | $28 | $28 | 27 |
G0444 Annual depression screening, 5 to 15 minutes | $30 | $17 | $17 | 228 |
81003 Automated urinalysis test | $21 | $2 | $2 | 59 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.