Physician
Family Medicine
Family Medicine
CHARLOTTESVILLE, VA
SENTARA MARTHA JEFFERSON HOSPITAL
sentara.com/hospitalslocations/martha-jefferson-hospital/directions-parking
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 | $561 | $276 | $276 | 96 |
99496 Transitional care management services for problem of high complexity | $551 | $271 | $203 | 14 |
99495 Transitional care management services for problem of at least moderate complexity | $375 | $200 | $154 | 42 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $359 | $162 | $162 | 17 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $343 | $167 | $125 | 19 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $292 | $126 | $126 | 405 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $243 | $125 | $77 | 776 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $171 | $88 | $56 | 406 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $144 | $75 | $75 | 135 |
20610 Aspiration and/or injection of fluid from large joint | $137 | $69 | $50 | 23 |
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 | $104 | $51 | $41 | 13 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $43 | $14 | $9 | 36 |
G0008 Administration of influenza virus vaccine | $40 | $30 | $30 | 136 |
G0009 Administration of pneumococcal vaccine | $38 | $30 | $30 | 94 |
93793 Anticoagulant management of patient taking warfarin | $24 | $11 | $7 | 121 |
J1030 Injection, methylprednisolone acetate, 40 mg | $17 | $8 | $6 | 20 |
85610 Blood test, clotting time | $10 | $4 | $4 | 140 |
36415 Insertion of needle into vein for collection of blood sample | $8 | $8 | $8 | 328 |
81003 Automated urinalysis test | $6 | $2 | $2 | 32 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.