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Physician

KRISTEN POLLICH, M.D.

Family Medicine

BENTON, AR, 72015
NPI: 1053449694

Contact

Family Medicine

BENTON, AR

SALINE MEMORIAL HOSPITAL

501-776-6000

salinememorial.org

Hospital Affiliations

Search procedure prices at these hospitals only

Common Procedures for Family Medicine

Annual Physical ExamWell-Child VisitImmunizationsChronic Disease ManagementSports PhysicalMinor Wound CareSkin Lesion RemovalJoint InjectionPreventive ScreeningMental Health Screening

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
99496
Transitional care management services for problem of high complexity
$365$253$20013
90677
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
$300$282$28266
99495
Transitional care management services for problem of at least moderate complexity
$250$187$15012
G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
$250$153$15311
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
$197$119$119167
99214
Established patient office or other outpatient visit, 30-39 minutes
$170$117$75486
77080
Dxa bone density measurement of hip, pelvis, spine
$168$34$3448
99213
Established patient office or other outpatient visit, 20-29 minutes
$115$82$55396
69210
Removal of impacted ear wax
$87$43$2211
87426
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
$85$34$3460
71046
X-ray of chest, 2 views
$70$27$1767
90662
Influenza vaccine split virus, preservative free
$66$65$6590
G0008
Administration of influenza virus vaccine
$45$28$2893
G0009
Administration of pneumococcal vaccine
$43$28$2868
87400
Detection test by immunoassay technique for influenza virus
$40$14$1473
96372
Injection of drug or substance under skin or into muscle
$38$13$9105
87880
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
$35$16$1613
81002
Urinalysis, manual test
$12$3$3123
J0696
Injection, ceftriaxone sodium, per 250 mg
$12$1$0308
J1100
Injection, dexamethasone sodium phosphate, 1 mg
$2$0$0525

Compare prices for procedures performed by Family Medicine physicians

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