Physician
Family Medicine
Family Medicine
ERIE, CO
GOOD SAMARITAN MEDICAL CENTER LLC
intermountainhealthcare.org/locations/intermountain-health-good-samaritan-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 |
|---|---|---|---|---|
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $200 | $130 | $130 | 160 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $178 | $166 | $166 | 14 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $160 | $127 | $91 | 428 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $120 | $85 | $57 | 155 |
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $50 | $24 | $18 | 36 |
81002 Urinalysis, manual test | $22 | $3 | $3 | 224 |
36415 Insertion of needle into vein for collection of blood sample | $22 | $8 | $8 | 337 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.