Physician
Family Medicine
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 |
|---|---|---|---|---|
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $440 | $77 | $77 | 29 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $368 | $139 | $139 | 14 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $327 | $76 | $34 | 292 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $303 | $43 | $43 | 158 |
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $303 | $282 | $282 | 51 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $232 | $66 | $34 | 194 |
91322 Sarscov2 vac 50 mcg/0.5ml im | $150 | $143 | $143 | 14 |
82306 Vitamin d-3 level | $104 | $29 | $29 | 18 |
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination | $100 | $40 | $40 | 29 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $79 | $15 | $10 | 21 |
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | $78 | $44 | $44 | 11 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $72 | $71 | $71 | 35 |
84443 Blood test, thyroid stimulating hormone (tsh) | $68 | $16 | $16 | 36 |
90480 Admn sarscov2 vacc 1 dose | $65 | $41 | $41 | 14 |
80061 Blood test, lipids (cholesterol and triglycerides) | $46 | $13 | $13 | 60 |
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report | $43 | $15 | $6 | 12 |
80053 Blood test, comprehensive group of blood chemicals | $42 | $10 | $10 | 75 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $34 | $8 | $8 | 15 |
G0008 Administration of influenza virus vaccine | $30 | $29 | $29 | 38 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $28 | $8 | $8 | 39 |
36415 Insertion of needle into vein for collection of blood sample | $27 | $8 | $8 | 87 |
G0009 Administration of pneumococcal vaccine | $26 | $25 | $25 | 50 |
81003 Automated urinalysis test | $7 | $2 | $2 | 26 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.