Physician
Physician Assistant
Physician Assistant
LEWISBERRY, PA
PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER
pennstatehealth.org/locations/penn-state-health-holy-spirit-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 |
|---|---|---|---|---|
99496 Transitional care management services for problem of high complexity | $350 | $224 | $171 | 22 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $160 | $103 | $69 | 77 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $150 | $105 | $105 | 63 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $110 | $72 | $50 | 275 |
90662 Influenza vaccine split virus, preservative free | $90 | $72 | $72 | 23 |
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | $75 | $40 | $40 | 40 |
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $75 | $51 | $40 | 81 |
99212 Established patient office or other outpatient visit, 10-19 minutes | $65 | $45 | $35 | 44 |
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | $55 | $38 | $31 | 43 |
G0008 Administration of influenza virus vaccine | $45 | $29 | $29 | 24 |
96372 Injection of drug or substance under skin or into muscle | $40 | $11 | $8 | 20 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $40 | $12 | $7 | 28 |
36415 Insertion of needle into vein for collection of blood sample | $9 | $8 | $8 | 113 |
J1100 Injection, dexamethasone sodium phosphate, 1 mg | $4 | $0 | $0 | 45 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.