Physician
Family Medicine
Family Medicine
GRAND ISLAND, NE
GRAND ISLAND REGIONAL MEDICAL CENTER
bryanhealth.com/locations/profile/grand-island-regional-medical-center
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 |
|---|---|---|---|---|
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery | $1,021 | $159 | $135 | 19 |
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $350 | $269 | $269 | 23 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $280 | $81 | $40 | 109 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $190 | $67 | $38 | 134 |
77080 Dxa bone density measurement of hip, pelvis, spine | $173 | $26 | $26 | 18 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $165 | $143 | $143 | 12 |
17000 Destruction of precancer skin growth, 1 growth | $130 | $62 | $19 | 13 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $130 | $34 | $34 | 109 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $110 | $74 | $74 | 66 |
71046 X-ray of chest, 2 views | $70 | $29 | $16 | 14 |
82306 Vitamin d-3 level | $70 | $28 | $28 | 43 |
0124A Adm sarscv2 bvl 30mcg/.3ml a | $60 | $38 | $38 | 31 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $53 | $19 | $19 | 44 |
84153 Psa (prostate specific antigen) measurement, total | $53 | $18 | $18 | 16 |
84443 Blood test, thyroid stimulating hormone (tsh) | $50 | $16 | $16 | 48 |
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report | $47 | $13 | $8 | 11 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $47 | $12 | $7 | 16 |
80061 Blood test, lipids (cholesterol and triglycerides) | $40 | $13 | $13 | 145 |
G0008 Administration of influenza virus vaccine | $40 | $28 | $28 | 65 |
G0009 Administration of pneumococcal vaccine | $35 | $28 | $28 | 22 |
80053 Blood test, comprehensive group of blood chemicals | $31 | $10 | $10 | 222 |
J1040 Injection, methylprednisolone acetate, 80 mg | $30 | $12 | $7 | 15 |
83036 Hemoglobin a1c level | $28 | $9 | $9 | 104 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $25 | $8 | $8 | 23 |
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test | $20 | $6 | $6 | 43 |
G0444 Annual depression screening, 5 to 15 minutes | $20 | $17 | $17 | 67 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $18 | $7 | $7 | 21 |
82043 Urine microalbumin (protein) level | $17 | $6 | $6 | 42 |
82570 Creatinine level to test for kidney function or muscle injury | $15 | $5 | $5 | 45 |
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $14 | $39 | $37 | 19 |
81001 Manual urinalysis test with examination using microscope, automated | $11 | $3 | $3 | 24 |
36415 Insertion of needle into vein for collection of blood sample | $9 | $8 | $8 | 305 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.