Physician
Family Medicine
Family Medicine
SALT LAKE CITY, UT
INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL
INTERMOUNTAIN MEDICAL CENTER
intermountainhealthcare.org/locations/intermountain-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 |
|---|---|---|---|---|
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $261 | $256 | $256 | 16 |
91320 Sarscv2 vac 30mcg trs-suc im | $240 | $128 | $128 | 15 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $205 | $123 | $123 | 161 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $143 | $86 | $53 | 185 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $88 | $73 | $73 | 50 |
0124A Adm sarscv2 bvl 30mcg/.3ml a | $55 | $39 | $39 | 22 |
90480 Admn sarscov2 vacc 1 dose | $55 | $39 | $39 | 15 |
G0009 Administration of pneumococcal vaccine | $55 | $29 | $29 | 19 |
G0008 Administration of influenza virus vaccine | $40 | $29 | $29 | 49 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.