Physician
Family Medicine
Family Medicine
SOUTH BEND, IN
MEMORIAL HOSPITAL OF SOUTH BEND
locations.beaconhealthsystem.org/in/south-bend/memorial-hospital
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 |
|---|---|---|---|---|
99495 Transitional care management services for problem of at least moderate complexity | $357 | $190 | $142 | 26 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $227 | $118 | $73 | 395 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $216 | $119 | $119 | 108 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $213 | $84 | $56 | 129 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $109 | $76 | $76 | 49 |
82306 Vitamin d-3 level | $106 | $29 | $29 | 13 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $97 | $13 | $10 | 15 |
99212 Established patient office or other outpatient visit, 10-19 minutes | $93 | $52 | $32 | 13 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $72 | $19 | $19 | 29 |
80061 Blood test, lipids (cholesterol and triglycerides) | $71 | $13 | $13 | 136 |
84443 Blood test, thyroid stimulating hormone (tsh) | $66 | $16 | $16 | 99 |
83036 Hemoglobin a1c level | $46 | $10 | $10 | 96 |
G0008 Administration of influenza virus vaccine | $46 | $29 | $29 | 55 |
80053 Blood test, comprehensive group of blood chemicals | $43 | $10 | $10 | 151 |
84439 Thyroxine (thyroid chemical), free | $43 | $9 | $9 | 29 |
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | $35 | $8 | $8 | 17 |
87088 Bacterial urine culture | $33 | $8 | $8 | 26 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $33 | $8 | $8 | 32 |
87077 Bacterial culture for aerobic isolates | $28 | $8 | $8 | 26 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $28 | $8 | $8 | 103 |
86140 Measurement c-reactive protein for detection of infection or inflammation | $28 | $5 | $5 | 12 |
82044 Urine microalbumin (protein) analysis | $24 | $6 | $6 | 35 |
83735 Magnesium level | $20 | $7 | $7 | 17 |
36415 Insertion of needle into vein for collection of blood sample | $14 | $8 | $8 | 283 |
81001 Manual urinalysis test with examination using microscope, automated | $12 | $3 | $3 | 41 |
81002 Urinalysis, manual test | $12 | $3 | $3 | 27 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.