Physician
Internal Medicine
Internal Medicine
BEND, OR
ST CHARLES MEDICAL CENTER PRINEVILLE
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 |
|---|---|---|---|---|
99496 Transitional care management services for problem of high complexity | $746 | $271 | $217 | 41 |
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $648 | $282 | $282 | 68 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $555 | $158 | $158 | 43 |
99204 New patient office or other outpatient visit, 45-59 minutes | $530 | $162 | $94 | 69 |
99495 Transitional care management services for problem of at least moderate complexity | $529 | $200 | $160 | 30 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $470 | $175 | $124 | 32 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $376 | $126 | $126 | 675 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $351 | $124 | $82 | 1,537 |
91322 Sarscov2 vac 50 mcg/0.5ml im | $329 | $143 | $143 | 46 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $239 | $88 | $51 | 29 |
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 | $172 | $51 | $41 | 26 |
90662 Influenza vaccine split virus, preservative free | $158 | $72 | $72 | 141 |
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) | $151 | $45 | $45 | 26 |
83970 Parathormone (parathyroid hormone) level | $104 | $40 | $40 | 15 |
90480 Admn sarscov2 vacc 1 dose | $100 | $40 | $40 | 46 |
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | $85 | $25 | $25 | 23 |
82306 Vitamin d-3 level | $75 | $29 | $29 | 276 |
G0009 Administration of pneumococcal vaccine | $67 | $30 | $30 | 73 |
G0008 Administration of influenza virus vaccine | $66 | $30 | $30 | 147 |
84403 Testosterone (hormone) level, total | $65 | $25 | $25 | 14 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $46 | $19 | $19 | 186 |
84153 Psa (prostate specific antigen) measurement, total | $46 | $18 | $18 | 44 |
84443 Blood test, thyroid stimulating hormone (tsh) | $43 | $16 | $16 | 332 |
82607 Cyanocobalamin (vitamin b-12) level | $38 | $15 | $15 | 199 |
82746 Folic acid level, serum | $37 | $14 | $14 | 36 |
82728 Ferritin (blood protein) level | $35 | $13 | $13 | 139 |
80061 Blood test, lipids (cholesterol and triglycerides) | $34 | $13 | $13 | 900 |
84466 Transferrin (iron binding protein) level | $32 | $13 | $13 | 137 |
80053 Blood test, comprehensive group of blood chemicals | $27 | $10 | $10 | 899 |
85379 Coagulation function measurement, d-dimer; quantitative | $26 | $10 | $10 | 26 |
83036 Hemoglobin a1c level | $25 | $10 | $10 | 416 |
84439 Thyroxine (thyroid chemical), free | $23 | $9 | $9 | 35 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $22 | $8 | $8 | 63 |
80069 Kidney function blood test panel | $22 | $9 | $9 | 48 |
80076 Liver function blood test panel | $21 | $8 | $8 | 17 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $20 | $8 | $8 | 906 |
83540 Iron level | $17 | $6 | $6 | 137 |
82550 Creatine kinase (cardiac enzyme) level, total | $17 | $6 | $6 | 16 |
82043 Urine microalbumin (protein) level | $15 | $6 | $6 | 148 |
36415 Insertion of needle into vein for collection of blood sample | $14 | $7 | $7 | 1,214 |
86140 Measurement c-reactive protein for detection of infection or inflammation | $13 | $5 | $5 | 52 |
82570 Creatinine level to test for kidney function or muscle injury | $13 | $5 | $5 | 148 |
84100 Phosphate level | $12 | $5 | $5 | 12 |
84550 Uric acid level, blood | $12 | $4 | $4 | 63 |
81001 Manual urinalysis test with examination using microscope, automated | $8 | $3 | $3 | 206 |
85652 Red blood cell sedimentation rate, to detect inflammation, automated | $7 | $3 | $3 | 28 |
85018 Blood count, hemoglobin | $6 | $2 | $2 | 26 |
85014 Red blood cell concentration measurement | $6 | $2 | $2 | 26 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.