Physician
Family Medicine
Family Medicine
MISSOULA, MT
ST. PATRICK HOSPITAL
COMMUNITY MEDICAL CENTER
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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 | $422 | $282 | $282 | 19 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $314 | $173 | $132 | 35 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $301 | $163 | $163 | 12 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $223 | $125 | $80 | 208 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $222 | $127 | $127 | 186 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $158 | $89 | $55 | 145 |
90662 Influenza vaccine split virus, preservative free | $104 | $72 | $72 | 40 |
G0009 Administration of pneumococcal vaccine | $79 | $30 | $30 | 21 |
G0008 Administration of influenza virus vaccine | $46 | $30 | $30 | 41 |
0124A Adm sarscv2 bvl 30mcg/.3ml a | $46 | $41 | $41 | 15 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.