Physician
Physician Assistant, Medical
Physician Assistant, Medical
SAN LUIS, AZ
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 |
|---|---|---|---|---|
99205 New patient office or other outpatient visit, 60-74 minutes | $573 | $183 | $124 | 23 |
99204 New patient office or other outpatient visit, 45-59 minutes | $456 | $138 | $97 | 17 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $401 | $147 | $106 | 34 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $298 | $99 | $67 | 25 |
72110 X-ray of lower and sacral spine, minimum of 4 views | $136 | $41 | $28 | 40 |
72100 X-ray of lower and sacral spine, 2-3 views | $98 | $33 | $25 | 30 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.