Physician
Family Medicine
Family Medicine
GRANGER, IN
COMMUNITY HOSPITAL OF BREMEN INC
locations.beaconhealthsystem.org/in/bremen/community-hospital-of-bremen
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 | $500 | $257 | $198 | 27 |
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $466 | $281 | $281 | 19 |
99495 Transitional care management services for problem of at least moderate complexity | $357 | $190 | $151 | 11 |
99306 Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $253 | $170 | $130 | 42 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $227 | $119 | $72 | 489 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $214 | $154 | $154 | 14 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $212 | $84 | $53 | 40 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $207 | $120 | $120 | 131 |
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $143 | $100 | $78 | 62 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $108 | $76 | $76 | 38 |
82306 Vitamin d-3 level | $106 | $29 | $29 | 18 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $97 | $13 | $9 | 20 |
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $82 | $58 | $43 | 132 |
84153 Psa (prostate specific antigen) measurement, total | $72 | $18 | $18 | 21 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $72 | $19 | $19 | 49 |
80061 Blood test, lipids (cholesterol and triglycerides) | $71 | $13 | $13 | 184 |
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | $67 | $44 | $34 | 53 |
84443 Blood test, thyroid stimulating hormone (tsh) | $66 | $16 | $16 | 168 |
82607 Cyanocobalamin (vitamin b-12) level | $56 | $15 | $15 | 23 |
86803 Hepatitis c antibody measurement | $51 | $14 | $14 | 19 |
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi | $50 | $29 | $23 | 29 |
83036 Hemoglobin a1c level | $46 | $10 | $10 | 77 |
G0008 Administration of influenza virus vaccine | $46 | $29 | $29 | 40 |
80053 Blood test, comprehensive group of blood chemicals | $43 | $10 | $10 | 269 |
84439 Thyroxine (thyroid chemical), free | $43 | $9 | $9 | 29 |
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | $35 | $8 | $8 | 14 |
G0009 Administration of pneumococcal vaccine | $35 | $25 | $25 | 26 |
87088 Bacterial urine culture | $33 | $8 | $8 | 28 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $33 | $8 | $8 | 23 |
87077 Bacterial culture for aerobic isolates | $29 | $8 | $8 | 28 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $28 | $8 | $8 | 218 |
82044 Urine microalbumin (protein) analysis | $24 | $6 | $6 | 32 |
83735 Magnesium level | $20 | $7 | $7 | 13 |
36415 Insertion of needle into vein for collection of blood sample | $14 | $8 | $8 | 400 |
81001 Manual urinalysis test with examination using microscope, automated | $12 | $3 | $3 | 111 |
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg | $4 | $1 | $1 | 56 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.