Physician
Internal Medicine
Internal Medicine
WESTFIELD, NJ
INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL
intermountainhealthcare.org/locations/intermountain-health-st-marys-regional-hospital
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 |
|---|---|---|---|---|
Q4236 Carepatch, per square centimeter | $1,374 | $1,175 | $936 | 944 |
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $596 | $283 | $283 | 31 |
99344 Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | $568 | $138 | $107 | 22 |
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | $447 | $137 | $109 | 70 |
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | $400 | $122 | $98 | 172 |
99204 New patient office or other outpatient visit, 45-59 minutes | $382 | $168 | $101 | 44 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $298 | $130 | $130 | 211 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $292 | $129 | $75 | 344 |
99442 Telephone medical discussion with physician, 11-20 minutes | $272 | $88 | $70 | 27 |
90732 Pneumococcal vaccine, 23-valent | $270 | $131 | $131 | 16 |
11042 Removal of skin and tissue, 20.0 sq cm or less | $265 | $119 | $95 | 28 |
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | $261 | $73 | $58 | 67 |
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | $247 | $75 | $60 | 14 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $207 | $91 | $60 | 380 |
99497 Advance care planning, first 30 minutes | $192 | $82 | $75 | 12 |
99212 Established patient office or other outpatient visit, 10-19 minutes | $129 | $57 | $37 | 51 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $96 | $75 | $75 | 97 |
G0008 Administration of influenza virus vaccine | $41 | $31 | $31 | 112 |
G0009 Administration of pneumococcal vaccine | $41 | $31 | $31 | 49 |
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report | $33 | $15 | $6 | 11 |
90686 Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | $20 | $20 | $20 | 17 |
36415 Insertion of needle into vein for collection of blood sample | $12 | $8 | $8 | 230 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.