Physician
Family Medicine
Family Medicine
SOUTH BEND, IN
MEMORIAL HOSPITAL OF SOUTH BEND
locations.beaconhealthsystem.org/in/south-bend/memorial-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 |
|---|---|---|---|---|
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $220 | $127 | $127 | 12 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $175 | $101 | $71 | 90 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $150 | $102 | $102 | 143 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $125 | $71 | $44 | 434 |
69210 Removal of impacted ear wax | $110 | $37 | $16 | 11 |
90662 Influenza vaccine split virus, preservative free | $80 | $72 | $72 | 56 |
71046 X-ray of chest, 2 views | $65 | $25 | $20 | 15 |
G0008 Administration of influenza virus vaccine | $30 | $29 | $29 | 60 |
G0444 Annual depression screening, 5 to 15 minutes | $18 | $14 | $14 | 147 |
83036 Hemoglobin a1c level | $18 | $10 | $10 | 55 |
81000 Manual urinalysis test with examination using microscope, non-automated | $15 | $4 | $4 | 28 |
81002 Urinalysis, manual test | $10 | $3 | $3 | 23 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.