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Physician

TALLULAH HOLMSTROM, MD

Internal Medicine

LUGOFF, SC, 29078
NPI: 1053363887

Hospital Affiliations

Search procedure prices at these hospitals only

Common Procedures for Internal Medicine

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.

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

ProcedureAvg ChargeMedicare AllowedMedicare PaidServices
90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
$1,060$283$28328
77080
Dxa bone density measurement of hip, pelvis, spine
$373$36$3616
99497
Advance care planning, first 30 minutes
$340$80$7229
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
$315$124$124231
99214
Established patient office or other outpatient visit, 30-39 minutes
$259$122$84303
99487
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month
$238$126$10120
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
$230$50$3830
99213
Established patient office or other outpatient visit, 20-29 minutes
$179$86$60251
99490
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
$167$60$43488
72100
X-ray of lower and sacral spine, 2-3 views
$158$27$1812
90662
Influenza vaccine split virus, preservative free
$149$72$7235
93000
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
$148$14$1114
69210
Removal of impacted ear wax
$146$45$3132
71046
X-ray of chest, 2 views
$142$22$1415
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
$132$45$3670
99489
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month
$119$67$5459
90686
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage
$108$22$2238
96372
Injection of drug or substance under skin or into muscle
$79$13$854
G0008
Administration of influenza virus vaccine
$64$29$2973
0124A
Adm sarscv2 bvl 30mcg/.3ml a
$51$39$3911
82270
Stool analysis for blood to screen for colon tumors
$30$4$414
81003
Automated urinalysis test
$24$2$222
G0009
Administration of pneumococcal vaccine
$23$23$2332
36415
Insertion of needle into vein for collection of blood sample
$23$8$8386
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
$19$2$135

Compare prices for procedures performed by Internal Medicine physicians

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