Physician
Family Medicine
Based on specialty. Actual services may vary — contact the provider's office to confirm.
MIPS (Merit-based Incentive Payment System) scores measure quality, cost, and improvement activities. Higher is better. Learn more at qpp.cms.gov
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 |
|---|---|---|---|---|
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $494 | $181 | $136 | 15 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $355 | $171 | $171 | 21 |
99204 New patient office or other outpatient visit, 45-59 minutes | $342 | $169 | $107 | 58 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $341 | $164 | $164 | 14 |
99239 Hospital discharge day management, more than 30 minutes | $298 | $119 | $95 | 44 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $244 | $130 | $130 | 132 |
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | $239 | $124 | $99 | 27 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $224 | $130 | $90 | 864 |
99442 Telephone medical discussion with physician, 11-20 minutes | $190 | $94 | $72 | 106 |
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | $155 | $82 | $65 | 259 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $152 | $92 | $63 | 357 |
99441 Telephone medical discussion with physician, 5-10 minutes | $117 | $60 | $41 | 83 |
99212 Established patient office or other outpatient visit, 10-19 minutes | $92 | $59 | $40 | 149 |
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | $85 | $52 | $41 | 17 |
90471 Administration of vaccine | $43 | $20 | $13 | 15 |
G0008 Administration of influenza virus vaccine | $40 | $32 | $32 | 14 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $35 | $15 | $10 | 38 |
96127 Assessment of emotional or behavioral problems | $10 | $5 | $3 | 109 |
Search published hospital rates side by side to find lower cash prices and stronger negotiating leverage.
Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.