Physician
Family Medicine
Family Medicine
SOUTH DEERFIELD, MA
COOLEY DICKINSON HOSPITAL INC,THE
massgeneralbrigham.org/en/patient-care/services-and-specialties/locations/cooley-dickinson-hospital
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 | $646 | $284 | $226 | 14 |
99495 Transitional care management services for problem of at least moderate complexity | $477 | $209 | $167 | 14 |
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $397 | $282 | $282 | 21 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $389 | $169 | $169 | 15 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $383 | $132 | $132 | 182 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $301 | $130 | $84 | 337 |
91320 Sarscv2 vac 30mcg trs-suc im | $281 | $128 | $128 | 12 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $212 | $91 | $60 | 297 |
90480 Admn sarscov2 vacc 1 dose | $185 | $45 | $45 | 16 |
90662 Influenza vaccine split virus, preservative free | $98 | $70 | $70 | 75 |
0121A Adm sarscv2 bvl 30mcg/.3ml 1 | $75 | $45 | $45 | 11 |
69209 Removal of impacted ear wax by washing | $47 | $17 | $9 | 19 |
G0008 Administration of influenza virus vaccine | $47 | $34 | $34 | 84 |
G0009 Administration of pneumococcal vaccine | $47 | $34 | $34 | 26 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $43 | $15 | $10 | 23 |
83036 Hemoglobin a1c level | $16 | $10 | $10 | 42 |
81003 Automated urinalysis test | $4 | $2 | $2 | 15 |
91312 Sarscov2 vac bvl 30mcg/0.3ml | $0 | $0 | $0 | 19 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.