Physician
Internal Medicine
Internal Medicine
PORTLAND, OR
LEGACY GOOD SAMARITAN MEDICAL CENTER
legacyhealth.org/Doctors-and-Locations/hospitals/legacy-good-samaritan-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 |
|---|---|---|---|---|
99215 Established patient office or other outpatient visit, 40-54 minutes | $435 | $112 | $61 | 31 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $360 | $159 | $159 | 13 |
77067 Screening mammography | $327 | $99 | $99 | 71 |
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $325 | $281 | $281 | 18 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $311 | $81 | $35 | 226 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $241 | $45 | $45 | 138 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $225 | $64 | $30 | 127 |
91322 Sarscov2 vac 50 mcg/0.5ml im | $155 | $143 | $143 | 28 |
99212 Established patient office or other outpatient visit, 10-19 minutes | $140 | $43 | $21 | 14 |
77080 Dxa bone density measurement of hip, pelvis, spine | $138 | $40 | $40 | 18 |
0124A Adm sarscv2 bvl 30mcg/.3ml a | $110 | $42 | $42 | 28 |
90480 Admn sarscov2 vacc 1 dose | $96 | $42 | $42 | 28 |
90662 Influenza vaccine split virus, preservative free | $89 | $72 | $72 | 75 |
77063 Screening 3d breast mammography | $67 | $26 | $26 | 71 |
G0009 Administration of pneumococcal vaccine | $58 | $31 | $31 | 18 |
G0008 Administration of influenza virus vaccine | $58 | $31 | $31 | 78 |
69209 Removal of impacted ear wax by washing | $40 | $21 | $13 | 20 |
83036 Hemoglobin a1c level | $36 | $10 | $10 | 34 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.