Physician
Internal Medicine
Internal Medicine
DALLAS, TX
BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS
BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE
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 | $914 | $281 | $281 | 24 |
77067 Screening mammography | $458 | $130 | $130 | 15 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $238 | $127 | $85 | 1,107 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $230 | $164 | $164 | 12 |
72050 X-ray of upper spine, 4-5 views | $190 | $54 | $36 | 14 |
77063 Screening 3d breast mammography | $187 | $53 | $53 | 15 |
72110 X-ray of lower and sacral spine, minimum of 4 views | $183 | $52 | $35 | 20 |
73502 X-ray of hip, 2-3 views | $167 | $48 | $36 | 11 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $160 | $128 | $128 | 384 |
90662 Influenza vaccine split virus, preservative free | $120 | $72 | $72 | 107 |
90682 Influenza vaccine, quadrivalent derived from recombinant dna | $120 | $72 | $72 | 23 |
71046 X-ray of chest, 2 views | $119 | $34 | $21 | 260 |
87804 Detection test by immunoassay with direct visual observation for influenza virus | $99 | $16 | $16 | 186 |
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | $99 | $16 | $16 | 56 |
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | $85 | $35 | $35 | 92 |
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 | $74 | $52 | $42 | 24 |
96372 Injection of drug or substance under skin or into muscle | $65 | $14 | $10 | 84 |
G0179 Physician or allowed practitioner re-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 a | $56 | $41 | $31 | 54 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $51 | $14 | $10 | 835 |
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report | $50 | $14 | $8 | 31 |
G0009 Administration of pneumococcal vaccine | $43 | $31 | $31 | 24 |
G0008 Administration of influenza virus vaccine | $26 | $25 | $25 | 132 |
36415 Insertion of needle into vein for collection of blood sample | $17 | $8 | $8 | 1,063 |
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | $4 | $0 | $0 | 1,500 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.