Physician
Family Medicine
Family Medicine
SANTA ROSA, CA
PROVIDENCE SANTA ROSA 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 |
|---|---|---|---|---|
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $567 | $281 | $281 | 96 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $354 | $140 | $140 | 298 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $345 | $139 | $93 | 1,631 |
17110 Destruction of skin growth, 1-14 growths | $322 | $132 | $101 | 17 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $245 | $98 | $66 | 345 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $133 | $76 | $76 | 123 |
69209 Removal of impacted ear wax by washing | $52 | $20 | $15 | 13 |
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report | $39 | $16 | $11 | 13 |
96372 Injection of drug or substance under skin or into muscle | $39 | $15 | $12 | 16 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $39 | $16 | $12 | 34 |
G0008 Administration of influenza virus vaccine | $30 | $29 | $29 | 131 |
G0009 Administration of pneumococcal vaccine | $30 | $29 | $29 | 96 |
96127 Assessment of emotional or behavioral problems | $13 | $5 | $2 | 20 |
81003 Automated urinalysis test | $10 | $2 | $2 | 17 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.