Physician
Family Medicine
Family Medicine
GRANGER, IN
MEMORIAL HOSPITAL OF SOUTH BEND
locations.beaconhealthsystem.org/in/south-bend/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 |
|---|---|---|---|---|
99496 Transitional care management services for problem of high complexity | $556 | $240 | $192 | 14 |
99495 Transitional care management services for problem of at least moderate complexity | $412 | $185 | $140 | 35 |
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $372 | $283 | $283 | 38 |
99204 New patient office or other outpatient visit, 45-59 minutes | $356 | $153 | $110 | 15 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $272 | $118 | $66 | 449 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $262 | $120 | $120 | 250 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $192 | $83 | $54 | 526 |
91320 Sarscv2 vac 30mcg trs-suc im | $161 | $128 | $128 | 27 |
90662 Influenza vaccine split virus, preservative free | $126 | $71 | $71 | 104 |
99212 Established patient office or other outpatient visit, 10-19 minutes | $119 | $52 | $32 | 37 |
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | $95 | $41 | $41 | 14 |
90480 Admn sarscov2 vacc 1 dose | $64 | $38 | $38 | 27 |
72100 X-ray of lower and sacral spine, 2-3 views | $59 | $27 | $18 | 12 |
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $48 | $21 | $14 | 99 |
71046 X-ray of chest, 2 views | $47 | $21 | $14 | 20 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $36 | $13 | $9 | 21 |
G0009 Administration of pneumococcal vaccine | $35 | $29 | $29 | 48 |
G0008 Administration of influenza virus vaccine | $35 | $28 | $28 | 114 |
83036 Hemoglobin a1c level | $22 | $9 | $9 | 193 |
82044 Urine microalbumin (protein) analysis | $15 | $6 | $6 | 39 |
36415 Insertion of needle into vein for collection of blood sample | $14 | $8 | $8 | 347 |
82570 Creatinine level to test for kidney function or muscle injury | $12 | $5 | $5 | 14 |
96127 Assessment of emotional or behavioral problems | $11 | $4 | $3 | 41 |
81000 Manual urinalysis test with examination using microscope, non-automated | $10 | $4 | $4 | 25 |
81003 Automated urinalysis test | $6 | $2 | $2 | 15 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.