Physician
Family Medicine
Family Medicine
BETHANY, OK
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 | $400 | $283 | $283 | 12 |
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | $325 | $125 | $97 | 29 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $320 | $123 | $123 | 81 |
77067 Screening mammography | $300 | $119 | $119 | 35 |
91320 Sarscv2 vac 30mcg trs-suc im | $300 | $128 | $128 | 13 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $260 | $120 | $81 | 693 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $170 | $85 | $56 | 22 |
77063 Screening 3d breast mammography | $150 | $50 | $50 | 35 |
90662 Influenza vaccine split virus, preservative free | $125 | $71 | $71 | 59 |
71046 X-ray of chest, 2 views | $120 | $29 | $18 | 40 |
82306 Vitamin d-3 level | $120 | $28 | $28 | 46 |
84443 Blood test, thyroid stimulating hormone (tsh) | $110 | $16 | $16 | 209 |
72100 X-ray of lower and sacral spine, 2-3 views | $106 | $34 | $22 | 11 |
80053 Blood test, comprehensive group of blood chemicals | $100 | $10 | $10 | 281 |
82607 Cyanocobalamin (vitamin b-12) level | $100 | $15 | $15 | 26 |
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | $98 | $49 | $36 | 201 |
80061 Blood test, lipids (cholesterol and triglycerides) | $90 | $13 | $13 | 218 |
84153 Psa (prostate specific antigen) measurement, total | $90 | $18 | $18 | 34 |
84481 Thyroid hormone, t3 measurement, free | $90 | $17 | $17 | 35 |
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | $80 | $32 | $32 | 57 |
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | $77 | $39 | $29 | 498 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $70 | $8 | $8 | 25 |
82746 Folic acid level, serum | $70 | $14 | $14 | 17 |
96372 Injection of drug or substance under skin or into muscle | $60 | $13 | $11 | 16 |
83036 Hemoglobin a1c level | $60 | $9 | $9 | 129 |
84439 Thyroxine (thyroid chemical), free | $60 | $9 | $9 | 40 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $60 | $13 | $8 | 17 |
90480 Admn sarscov2 vacc 1 dose | $55 | $38 | $38 | 13 |
87804 Detection test by immunoassay with direct visual observation for influenza virus | $52 | $15 | $15 | 96 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $50 | $8 | $8 | 74 |
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | $50 | $16 | $16 | 18 |
83721 Ldl cholesterol level | $50 | $10 | $10 | 45 |
G0009 Administration of pneumococcal vaccine | $40 | $29 | $29 | 15 |
G0008 Administration of influenza virus vaccine | $40 | $29 | $29 | 59 |
82043 Urine microalbumin (protein) level | $30 | $6 | $6 | 43 |
83735 Magnesium level | $25 | $7 | $7 | 13 |
82570 Creatinine level to test for kidney function or muscle injury | $20 | $5 | $5 | 43 |
81003 Automated urinalysis test | $20 | $2 | $2 | 115 |
84550 Uric acid level, blood | $20 | $4 | $4 | 12 |
36415 Insertion of needle into vein for collection of blood sample | $14 | $8 | $8 | 243 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.