Physician
Family Medicine
Family Medicine
APPLE VALLEY, MN
ALLINA UNITED HOSPITAL
M HEALTH FAIRVIEW RIDGES HOSPITAL
mhealthfairview.org/locations/M-Health-Fairview-Ridges-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 |
|---|---|---|---|---|
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $695 | $283 | $283 | 11 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $515 | $163 | $163 | 16 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $403 | $128 | $128 | 87 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $394 | $126 | $84 | 263 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $280 | $89 | $65 | 76 |
91322 Sarscov2 vac 50 mcg/0.5ml im | $151 | $143 | $143 | 20 |
82306 Vitamin d-3 level | $138 | $27 | $27 | 30 |
84443 Blood test, thyroid stimulating hormone (tsh) | $79 | $16 | $16 | 77 |
90480 Admn sarscov2 vacc 1 dose | $72 | $33 | $33 | 20 |
82607 Cyanocobalamin (vitamin b-12) level | $70 | $15 | $15 | 15 |
82728 Ferritin (blood protein) level | $64 | $13 | $13 | 15 |
80061 Blood test, lipids (cholesterol and triglycerides) | $63 | $13 | $13 | 98 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $62 | $14 | $10 | 18 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $55 | $54 | $54 | 34 |
80053 Blood test, comprehensive group of blood chemicals | $49 | $10 | $10 | 145 |
83036 Hemoglobin a1c level | $45 | $10 | $10 | 72 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $40 | $8 | $8 | 70 |
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | $40 | $8 | $8 | 12 |
87086 Bacterial colony count, urine | $38 | $8 | $8 | 27 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $37 | $8 | $8 | 185 |
82043 Urine microalbumin (protein) level | $27 | $6 | $6 | 17 |
G0008 Administration of influenza virus vaccine | $27 | $27 | $27 | 40 |
82565 Blood creatinine level | $24 | $5 | $5 | 13 |
84132 Blood potassium level | $22 | $5 | $5 | 19 |
85610 Blood test, clotting time | $20 | $4 | $4 | 112 |
36415 Insertion of needle into vein for collection of blood sample | $17 | $8 | $8 | 351 |
81001 Manual urinalysis test with examination using microscope, automated | $15 | $3 | $3 | 31 |
85018 Blood count, hemoglobin | $12 | $2 | $2 | 23 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.