Physician
Family Medicine
Family Medicine
SAINT CLOUD, 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 |
|---|---|---|---|---|
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $531 | $155 | $155 | 12 |
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $398 | $270 | $270 | 20 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $377 | $126 | $126 | 130 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $370 | $124 | $80 | 362 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $262 | $88 | $52 | 42 |
91322 Sarscov2 vac 50 mcg/0.5ml im | $140 | $135 | $135 | 15 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $105 | $75 | $75 | 53 |
83880 Natriuretic peptide (heart and blood vessel protein) level | $84 | $38 | $38 | 16 |
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $68 | $23 | $13 | 11 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $57 | $14 | $11 | 57 |
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report | $56 | $14 | $4 | 11 |
G0009 Administration of pneumococcal vaccine | $55 | $30 | $30 | 19 |
G0010 Administration of hepatitis b vaccine | $55 | $30 | $30 | 11 |
90480 Admn sarscov2 vacc 1 dose | $55 | $40 | $40 | 15 |
G0008 Administration of influenza virus vaccine | $54 | $30 | $30 | 63 |
73030 X-ray of shoulder, minimum of 2 views | $52 | $18 | $11 | 23 |
71046 X-ray of chest, 2 views | $52 | $16 | $10 | 75 |
0124A Adm sarscv2 bvl 30mcg/.3ml a | $45 | $40 | $40 | 28 |
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing | $32 | $6 | $5 | 12 |
G0405 Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination | $29 | $7 | $1 | 14 |
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | $28 | $8 | $5 | 163 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $19 | $8 | $8 | 267 |
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test | $16 | $6 | $6 | 92 |
36415 Insertion of needle into vein for collection of blood sample | $11 | $8 | $8 | 1,107 |
85610 Blood test, clotting time | $10 | $4 | $4 | 658 |
81001 Manual urinalysis test with examination using microscope, automated | $9 | $3 | $3 | 81 |
85018 Blood count, hemoglobin | $8 | $2 | $2 | 67 |
81003 Automated urinalysis test | $8 | $2 | $2 | 11 |
85652 Red blood cell sedimentation rate, to detect inflammation, automated | $7 | $3 | $3 | 38 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.