Physician
General Practice
General Practice
LEBANON, TN
VANDERBILT WILSON COUNTY HOSPITAL
vanderbilthealth.com/locations/vanderbilt-wilson-county-hospital?utm_source=Yext
TRISTAR SUMMIT MEDICAL CENTER
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 |
|---|---|---|---|---|
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $235 | $119 | $119 | 175 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $228 | $153 | $153 | 17 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $195 | $160 | $104 | 102 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $148 | $116 | $75 | 466 |
99497 Advance care planning, first 30 minutes | $125 | $77 | $74 | 62 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $117 | $83 | $52 | 350 |
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 | $112 | $48 | $38 | 27 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $95 | $13 | $9 | 13 |
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 | $82 | $38 | $30 | 21 |
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | $60 | $40 | $40 | 48 |
90756 Influenza vaccine, quadrivalent derived from cell cultures | $53 | $32 | $32 | 64 |
36415 Insertion of needle into vein for collection of blood sample | $44 | $8 | $8 | 252 |
G0008 Administration of influenza virus vaccine | $38 | $28 | $28 | 63 |
96372 Injection of drug or substance under skin or into muscle | $35 | $13 | $9 | 197 |
87804 Detection test by immunoassay with direct visual observation for influenza virus | $20 | $16 | $16 | 82 |
81002 Urinalysis, manual test | $19 | $3 | $3 | 17 |
81003 Automated urinalysis test | $5 | $2 | $2 | 107 |
J1100 Injection, dexamethasone sodium phosphate, 1 mg | $3 | $0 | $0 | 153 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.