Physician
Family Medicine
Family Medicine
MELROSE PARK, IL
LOYOLA UNIVERSITY MEDICAL CENTER
loyolamedicine.org/location/loyola-university-medical-center-2
LOYOLA GOTTLIEB MEMORIAL HOSPITAL
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 |
|---|---|---|---|---|
99214 Established patient office or other outpatient visit, 30-39 minutes | $225 | $134 | $89 | 483 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $220 | $136 | $136 | 54 |
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment | $220 | $148 | $83 | 24 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $160 | $95 | $64 | 315 |
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | $100 | $35 | $35 | 42 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $100 | $76 | $76 | 41 |
90662 Influenza vaccine split virus, preservative free | $100 | $69 | $69 | 16 |
90756 Influenza vaccine, quadrivalent derived from cell cultures | $100 | $32 | $32 | 19 |
96136 Administration of psychological or neuropsychological test, first 30 minutes | $100 | $44 | $21 | 127 |
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | $90 | $35 | $27 | 19 |
0124A Adm sarscv2 bvl 30mcg/.3ml a | $55 | $43 | $43 | 14 |
0134A Adm sarscv2 bvl 50mcg/.5ml a | $55 | $43 | $43 | 18 |
87804 Detection test by immunoassay with direct visual observation for influenza virus | $53 | $16 | $16 | 30 |
G0010 Administration of hepatitis b vaccine | $50 | $32 | $32 | 98 |
G0008 Administration of influenza virus vaccine | $50 | $32 | $32 | 93 |
90480 Admn sarscov2 vacc 1 dose | $50 | $43 | $43 | 11 |
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $48 | $24 | $16 | 119 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $40 | $15 | $9 | 60 |
80305 Testing for presence of drug, read by direct observation | $35 | $12 | $12 | 12 |
96372 Injection of drug or substance under skin or into muscle | $35 | $15 | $10 | 52 |
99406 Smoking and tobacco use intensive counseling, 4-10 minutes | $30 | $16 | $16 | 28 |
G0009 Administration of pneumococcal vaccine | $30 | $29 | $29 | 95 |
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | $25 | $16 | $16 | 37 |
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | $20 | $1 | $1 | 32 |
95004 Test for allergy using allergenic extract | $9 | $4 | $3 | 760 |
82962 Blood glucose (sugar) test performed by hand-held instrument | $5 | $3 | $3 | 453 |
82947 Blood glucose (sugar) level | $5 | $4 | $4 | 25 |
J1885 Injection, ketorolac tromethamine, per 15 mg | $5 | $1 | $0 | 53 |
81003 Automated urinalysis test | $5 | $2 | $2 | 388 |
85018 Blood count, hemoglobin | $4 | $2 | $2 | 12 |
91313 Sarscov2 vac bvl 50mcg/0.5ml | $0 | $0 | $0 | 18 |
91312 Sarscov2 vac bvl 30mcg/0.3ml | $0 | $0 | $0 | 14 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.