Annual Physical ExamWell-Child VisitImmunizationsChronic Disease ManagementSports PhysicalMinor Wound CareSkin Lesion RemovalJoint InjectionPreventive ScreeningMental Health Screening

Based on specialty. Actual services may vary — contact the provider's office to confirm.

Procedure Pricing (Medicare Data)

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	$300	$270	$270	28
99495 Transitional care management services for problem of at least moderate complexity	$265	$200	$155	37
99215 Established patient office or other outpatient visit, 40-54 minutes	$255	$177	$117	32
99204 New patient office or other outpatient visit, 45-59 minutes	$237	$165	$79	25
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	$195	$163	$163	14
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	$185	$163	$163	31
99214 Established patient office or other outpatient visit, 30-39 minutes	$183	$126	$78	1,116
77067 Screening mammography	$156	$92	$92	57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	$150	$128	$128	62
99213 Established patient office or other outpatient visit, 20-29 minutes	$129	$88	$59	258
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	$100	$35	$35	30
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	$84	$75	$75	84
72110 X-ray of lower and sacral spine, minimum of 4 views	$60	$35	$27	16
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	$54	$14	$10	20
73502 X-ray of hip, 2-3 views	$47	$33	$20	12
77063 Screening 3d breast mammography	$41	$24	$24	56
71046 X-ray of chest, 2 views	$41	$21	$13	65
G0009 Administration of pneumococcal vaccine	$40	$30	$30	35
G0008 Administration of influenza virus vaccine	$40	$30	$30	87
94640 Inhalation treatment for airway obstruction or sputum production	$37	$9	$7	11
96372 Injection of drug or substance under skin or into muscle	$36	$14	$10	27
G0444 Annual depression screening, 5 to 15 minutes	$35	$18	$18	57
81003 Automated urinalysis test	$9	$2	$2	123
J1030 Injection, methylprednisolone acetate, 40 mg	$8	$8	$5	16
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	$5	$0	$0	11

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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.

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