Annual Physical ExamChronic Disease ManagementPreventive ScreeningBlood Pressure ManagementDiabetes ManagementCholesterol ManagementImmunizationsEKGSpirometryHealth Risk Assessment

Based on specialty. Actual services may vary — contact the provider's office to confirm.

MIPS Quality Score

PY 2023

35.8/100Below Average

Quality

35.0

Improvement Activities

0.0

Cost

39.5

MIPS (Merit-based Incentive Payment System) scores measure quality, cost, and improvement activities. Higher is better. Learn more at qpp.cms.gov

Procedure Pricing (Medicare Data)

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
99291 Critical care, first 30-74 minutes	$600	$216	$172	57
99496 Transitional care management services for problem of high complexity	$484	$194	$155	215
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	$418	$176	$141	38
99204 New patient office or other outpatient visit, 45-59 minutes	$360	$172	$125	42
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	$356	$170	$170	20
99495 Transitional care management services for problem of at least moderate complexity	$342	$212	$169	15
99215 Established patient office or other outpatient visit, 40-54 minutes	$315	$185	$145	219
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	$282	$131	$104	50
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	$280	$136	$108	200
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	$238	$133	$133	201
99214 Established patient office or other outpatient visit, 30-39 minutes	$235	$132	$104	2,756
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	$224	$107	$81	587
G0182 Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patien	$224	$108	$86	14
99239 Hospital discharge day management, more than 30 minutes	$222	$117	$93	107
99316 Nursing facility discharge management, more than 30 minutes	$218	$134	$107	173
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	$214	$121	$96	174
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	$174	$78	$61	1,155
99213 Established patient office or other outpatient visit, 20-29 minutes	$160	$93	$72	1,477
99497 Advance care planning, first 30 minutes	$160	$85	$67	242
95249 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin	$150	$65	$52	27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	$148	$81	$64	140
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	$142	$76	$59	46
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	$120	$41	$31	5,691
G0008 Administration of influenza virus vaccine	$100	$32	$32	16
99447 Telephone or internet assessment with verbal and written report by consulting physician, 11-20 minutes	$100	$36	$29	66
99212 Established patient office or other outpatient visit, 10-19 minutes	$95	$59	$49	14
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	$90	$35	$28	26
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	$56	$19	$15	78
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	$45	$25	$15	82
G0444 Annual depression screening, 5 to 15 minutes	$38	$19	$19	208
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	$36	$15	$12	21
90662 Influenza vaccine split virus, preservative free	$25	$25	$25	12
36415 Insertion of needle into vein for collection of blood sample	$15	$8	$8	54

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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.

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