Well-Child VisitImmunizationsDevelopmental ScreeningNewborn ExaminationEar Infection TreatmentAsthma ManagementADHD EvaluationSports PhysicalVision/Hearing ScreeningGrowth Assessment

Based on specialty. Actual services may vary — contact the provider's office to confirm.

Procedure Pricing (Medicare Data)

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	$567	$283	$283	31
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	$256	$163	$163	12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	$213	$126	$126	186
99214 Established patient office or other outpatient visit, 30-39 minutes	$172	$126	$83	446
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	$128	$51	$40	20
99213 Established patient office or other outpatient visit, 20-29 minutes	$119	$89	$63	28
90662 Influenza vaccine split virus, preservative free	$92	$72	$72	63
69210 Removal of impacted ear wax	$89	$47	$33	30
80061 Blood test, lipids (cholesterol and triglycerides)	$45	$13	$13	51
G0008 Administration of influenza virus vaccine	$39	$30	$30	64
G0009 Administration of pneumococcal vaccine	$39	$30	$30	31
83036 Hemoglobin a1c level	$27	$10	$10	111
82043 Urine microalbumin (protein) level	$16	$6	$6	12
82570 Creatinine level to test for kidney function or muscle injury	$14	$5	$5	12
82947 Blood glucose (sugar) level	$11	$4	$4	46
81003 Automated urinalysis test	$6	$2	$2	47

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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.

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