Physician
Family Medicine
Family Medicine
WEST GROVE, 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 | $784 | $283 | $283 | 60 |
99495 Transitional care management services for problem of at least moderate complexity | $490 | $121 | $72 | 25 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $477 | $60 | $60 | 121 |
91322 Sarscov2 vac 50 mcg/0.5ml im | $438 | $143 | $143 | 22 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $431 | $113 | $41 | 23 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $427 | $154 | $154 | 15 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $323 | $86 | $37 | 674 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $323 | $46 | $46 | 130 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $221 | $72 | $34 | 151 |
90662 Influenza vaccine split virus, preservative free | $192 | $72 | $72 | 163 |
90480 Admn sarscov2 vacc 1 dose | $120 | $43 | $43 | 22 |
96372 Injection of drug or substance under skin or into muscle | $80 | $15 | $10 | 65 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $60 | $15 | $11 | 14 |
G0009 Administration of pneumococcal vaccine | $40 | $32 | $32 | 60 |
G0008 Administration of influenza virus vaccine | $40 | $32 | $32 | 169 |
81002 Urinalysis, manual test | $10 | $3 | $3 | 20 |
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | $9 | $2 | $1 | 65 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.