Physician
Family Medicine
Family Medicine
OMAHA, 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 |
|---|---|---|---|---|
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $687 | $282 | $282 | 16 |
99495 Transitional care management services for problem of at least moderate complexity | $566 | $189 | $150 | 19 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $394 | $151 | $151 | 106 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $383 | $152 | $152 | 15 |
87502 Detection test by nucleic acid for multiple types influenza virus | $315 | $94 | $94 | 13 |
17110 Destruction of skin growth, 1-14 growths | $299 | $104 | $77 | 13 |
90732 Pneumococcal vaccine, 23-valent | $284 | $131 | $131 | 13 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $276 | $118 | $79 | 391 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $268 | $119 | $119 | 137 |
77067 Screening mammography | $263 | $84 | $84 | 56 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $243 | $82 | $55 | 339 |
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | $121 | $44 | $35 | 23 |
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | $110 | $48 | $48 | 20 |
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $108 | $58 | $45 | 338 |
83036 Hemoglobin a1c level | $92 | $9 | $9 | 76 |
77063 Screening 3d breast mammography | $86 | $22 | $22 | 48 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $85 | $76 | $76 | 70 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $84 | $13 | $10 | 73 |
71046 X-ray of chest, 2 views | $72 | $19 | $13 | 42 |
69209 Removal of impacted ear wax by washing | $65 | $18 | $11 | 44 |
96372 Injection of drug or substance under skin or into muscle | $63 | $13 | $8 | 48 |
G0008 Administration of influenza virus vaccine | $39 | $28 | $28 | 71 |
G0009 Administration of pneumococcal vaccine | $38 | $28 | $28 | 29 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $35 | $8 | $8 | 359 |
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test | $32 | $6 | $6 | 16 |
36415 Insertion of needle into vein for collection of blood sample | $26 | $8 | $8 | 480 |
81003 Automated urinalysis test | $19 | $2 | $2 | 24 |
81001 Manual urinalysis test with examination using microscope, automated | $19 | $3 | $3 | 45 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.