Physician
Internal Medicine
Internal Medicine
SALEM, UT
INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL
INTERMOUNTAIN HEALTH SPANISH FORK HOSPITAL
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 |
|---|---|---|---|---|
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $401 | $271 | $271 | 28 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $287 | $157 | $157 | 15 |
99204 New patient office or other outpatient visit, 45-59 minutes | $278 | $159 | $80 | 18 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $212 | $121 | $79 | 1,120 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $191 | $122 | $122 | 332 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $150 | $85 | $59 | 128 |
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 | $107 | $49 | $39 | 14 |
90662 Influenza vaccine split virus, preservative free | $101 | $72 | $72 | 152 |
83970 Parathormone (parathyroid hormone) level | $87 | $40 | $40 | 14 |
82306 Vitamin d-3 level | $62 | $29 | $29 | 17 |
94762 Test to measure oxygen level in blood using ear or finger device continuously overnight | $57 | $23 | $17 | 12 |
84403 Testosterone (hormone) level, total | $54 | $25 | $25 | 13 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $48 | $14 | $10 | 23 |
96372 Injection of drug or substance under skin or into muscle | $40 | $13 | $11 | 31 |
84153 Psa (prostate specific antigen) measurement, total | $39 | $18 | $18 | 64 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $39 | $19 | $19 | 40 |
84443 Blood test, thyroid stimulating hormone (tsh) | $35 | $16 | $16 | 260 |
82607 Cyanocobalamin (vitamin b-12) level | $32 | $15 | $15 | 42 |
82728 Ferritin (blood protein) level | $29 | $13 | $13 | 75 |
80061 Blood test, lipids (cholesterol and triglycerides) | $28 | $13 | $13 | 399 |
80053 Blood test, comprehensive group of blood chemicals | $22 | $10 | $10 | 463 |
G0008 Administration of influenza virus vaccine | $19 | $19 | $19 | 152 |
83550 Iron binding capacity | $19 | $9 | $9 | 19 |
84439 Thyroxine (thyroid chemical), free | $19 | $9 | $9 | 145 |
G0009 Administration of pneumococcal vaccine | $19 | $18 | $18 | 29 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $18 | $8 | $8 | 139 |
83036 Hemoglobin a1c level | $18 | $10 | $10 | 388 |
81001 Manual urinalysis test with examination using microscope, automated | $16 | $3 | $3 | 24 |
36415 Insertion of needle into vein for collection of blood sample | $15 | $8 | $8 | 769 |
83540 Iron level | $14 | $6 | $6 | 19 |
83735 Magnesium level | $14 | $7 | $7 | 25 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $13 | $8 | $8 | 517 |
82043 Urine microalbumin (protein) level | $13 | $6 | $6 | 198 |
84550 Uric acid level, blood | $10 | $4 | $4 | 12 |
82570 Creatinine level to test for kidney function or muscle injury | $9 | $5 | $5 | 198 |
85652 Red blood cell sedimentation rate, to detect inflammation, automated | $6 | $3 | $3 | 18 |
81003 Automated urinalysis test | $6 | $2 | $2 | 53 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.