Physician
Internal Medicine
Internal Medicine
TIGARD, OR
PROVIDENCE ST VINCENT MEDICAL CENTER
LEGACY MERIDIAN PARK MEDICAL CENTER
legacyhealth.org/Doctors-and-Locations/hospitals/legacy-meridian-park-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 |
|---|---|---|---|---|
99215 Established patient office or other outpatient visit, 40-54 minutes | $600 | $136 | $81 | 76 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $555 | $105 | $105 | 24 |
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $454 | $282 | $282 | 17 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $434 | $52 | $52 | 74 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $428 | $99 | $49 | 229 |
91320 Sarscv2 vac 30mcg trs-suc im | $262 | $128 | $128 | 13 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $107 | $58 | $58 | 29 |
G0009 Administration of pneumococcal vaccine | $81 | $31 | $31 | 17 |
0134A Adm sarscv2 bvl 50mcg/.5ml a | $60 | $42 | $42 | 30 |
90480 Admn sarscov2 vacc 1 dose | $60 | $42 | $42 | 13 |
83036 Hemoglobin a1c level | $52 | $10 | $10 | 24 |
G0008 Administration of influenza virus vaccine | $33 | $31 | $31 | 33 |
36415 Insertion of needle into vein for collection of blood sample | $21 | $8 | $8 | 245 |
96127 Assessment of emotional or behavioral problems | $16 | $5 | $4 | 21 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.