Physician
Physician Assistant
Physician Assistant
PLYMOUTH, MN
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 |
|---|---|---|---|---|
22633 Fusion of spine in lower back with partial removal of spine bone and disc | $6,748 | $215 | $171 | 14 |
22840 Placement of stabilizing device to back of 1 spine bone in neck | $2,784 | $91 | $73 | 11 |
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion | $913 | $31 | $25 | 18 |
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back | $873 | $31 | $25 | 14 |
99204 New patient office or other outpatient visit, 45-59 minutes | $614 | $137 | $102 | 16 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $426 | $101 | $79 | 16 |
99203 New patient office or other outpatient visit, 30-44 minutes | $403 | $92 | $73 | 13 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $301 | $75 | $53 | 66 |
99202 New patient office or other outpatient visit, 15-29 minutes | $280 | $60 | $35 | 11 |
99212 Established patient office or other outpatient visit, 10-19 minutes | $186 | $47 | $34 | 38 |
72100 X-ray of lower and sacral spine, 2-3 views | $136 | $33 | $21 | 31 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.