Physician
Family Medicine
Family Medicine
LAKE FOREST, CA
MEMORIALCARE SADDLEBACK MEDICAL CENTER
PROVIDENCE MISSION HOSPITAL
providence.org/locations/socal/mission-hospital-mission-viejo
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 |
|---|---|---|---|---|
J3490 Unclassified drugs | $926 | $147 | $117 | 167 |
99496 Transitional care management services for problem of high complexity | $333 | $300 | $239 | 32 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $300 | $140 | $140 | 77 |
11980 Placement of hormone pellet under skin | $250 | $104 | $83 | 37 |
99205 New patient office or other outpatient visit, 60-74 minutes | $250 | $237 | $188 | 14 |
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $250 | $163 | $125 | 406 |
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | $200 | $74 | $58 | 62 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $200 | $194 | $142 | 334 |
99204 New patient office or other outpatient visit, 45-59 minutes | $191 | $180 | $123 | 19 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $175 | $138 | $102 | 684 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $105 | $98 | $70 | 292 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $75 | $15 | $11 | 33 |
J3475 Injection, magnesium sulfate, per 500 mg | $55 | $1 | $1 | 232 |
96372 Injection of drug or substance under skin or into muscle | $50 | $16 | $12 | 163 |
96375 Injection of additional new drug or substance into vein | $45 | $18 | $14 | 349 |
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg | $25 | $0 | $0 | 25 |
J3415 Injection, pyridoxine hcl, 100 mg | $25 | $10 | $8 | 174 |
81002 Urinalysis, manual test | $20 | $3 | $3 | 17 |
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | $5 | $2 | $1 | 70 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.