Physician
Internal Medicine
Internal Medicine
BELLEVUE, NE
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 |
|---|---|---|---|---|
99495 Transitional care management services for problem of at least moderate complexity | $583 | $189 | $150 | 15 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $475 | $153 | $153 | 16 |
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $445 | $282 | $282 | 19 |
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $378 | $119 | $93 | 131 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $372 | $119 | $119 | 295 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $363 | $118 | $78 | 385 |
99239 Hospital discharge day management, more than 30 minutes | $296 | $105 | $84 | 215 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $256 | $83 | $53 | 918 |
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $200 | $73 | $58 | 691 |
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | $192 | $69 | $54 | 38 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $77 | $75 | $75 | 63 |
73560 X-ray of knee, 1-2 views | $73 | $23 | $13 | 14 |
73030 X-ray of shoulder, minimum of 2 views | $71 | $23 | $16 | 14 |
71046 X-ray of chest, 2 views | $65 | $21 | $13 | 47 |
0124A Adm sarscv2 bvl 30mcg/.3ml a | $49 | $38 | $38 | 16 |
96372 Injection of drug or substance under skin or into muscle | $41 | $13 | $9 | 116 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $40 | $13 | $10 | 68 |
G0008 Administration of influenza virus vaccine | $35 | $28 | $28 | 76 |
G0009 Administration of pneumococcal vaccine | $35 | $28 | $28 | 19 |
83036 Hemoglobin a1c level | $24 | $9 | $9 | 237 |
85610 Blood test, clotting time | $10 | $4 | $4 | 106 |
36415 Insertion of needle into vein for collection of blood sample | $7 | $7 | $7 | 672 |
81003 Automated urinalysis test | $6 | $2 | $2 | 85 |
85018 Blood count, hemoglobin | $6 | $2 | $2 | 15 |
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg | $4 | $1 | $1 | 54 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.