Physician
Family Medicine
Family Medicine
EXTON, PA
HOSPITAL OF UNIV OF PENNSYLVANIA
pennmedicine.org/locations/hospital-of-the-university-of-pennsylvania
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 | $328 | $282 | $282 | 103 |
99496 Transitional care management services for problem of high complexity | $325 | $288 | $226 | 29 |
99495 Transitional care management services for problem of at least moderate complexity | $250 | $212 | $162 | 18 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $220 | $171 | $171 | 19 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $180 | $133 | $133 | 334 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $180 | $171 | $171 | 15 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $168 | $132 | $89 | 640 |
99203 New patient office or other outpatient visit, 30-44 minutes | $165 | $118 | $60 | 25 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $120 | $93 | $64 | 197 |
92250 Photography of the retina | $100 | $39 | $28 | 11 |
90662 Influenza vaccine split virus, preservative free | $85 | $72 | $72 | 157 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $65 | $15 | $8 | 58 |
0134A Adm sarscv2 bvl 50mcg/.5ml a | $60 | $43 | $43 | 74 |
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report | $59 | $15 | $5 | 15 |
G0008 Administration of influenza virus vaccine | $50 | $32 | $32 | 163 |
G0009 Administration of pneumococcal vaccine | $36 | $32 | $32 | 103 |
G0442 Annual alcohol misuse screening, 5 to 15 minutes | $25 | $19 | $19 | 373 |
G0444 Annual depression screening, 5 to 15 minutes | $25 | $19 | $19 | 334 |
81003 Automated urinalysis test | $18 | $2 | $2 | 31 |
36415 Insertion of needle into vein for collection of blood sample | $12 | $8 | $8 | 11 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.