Physician
Family Medicine
Family Medicine
SAN PEDRO, CA
PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO
PROVIDENCE LITTLE COMPANY OF MARY MED CTR TORRANCE
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 | $780 | $282 | $282 | 17 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $528 | $197 | $135 | 21 |
99306 Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $526 | $196 | $157 | 38 |
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $444 | $166 | $125 | 27 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $384 | $140 | $140 | 25 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $378 | $141 | $88 | 164 |
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $310 | $116 | $82 | 117 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $268 | $100 | $65 | 106 |
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | $216 | $81 | $57 | 109 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $200 | $75 | $75 | 19 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $85 | $16 | $10 | 20 |
G0008 Administration of influenza virus vaccine | $79 | $34 | $34 | 20 |
G0009 Administration of pneumococcal vaccine | $79 | $34 | $34 | 17 |
83036 Hemoglobin a1c level | $27 | $10 | $10 | 41 |
81003 Automated urinalysis test | $11 | $2 | $2 | 17 |
36415 Insertion of needle into vein for collection of blood sample | $10 | $8 | $8 | 90 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.