Physician
Physician Assistant
Physician Assistant
FREDERICKSBURG, PA
WELLSPAN GOOD SAMARITAN HOSPITAL
wellspan.org/locations/wellspan-good-samaritan-hospital-loc0000169598
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 |
|---|---|---|---|---|
99215 Established patient office or other outpatient visit, 40-54 minutes | $355 | $148 | $99 | 23 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $339 | $137 | $137 | 11 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $265 | $106 | $106 | 85 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $251 | $106 | $61 | 246 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $178 | $75 | $46 | 13 |
90682 Influenza vaccine, quadrivalent derived from recombinant dna | $136 | $72 | $72 | 32 |
G0008 Administration of influenza virus vaccine | $44 | $29 | $29 | 32 |
G0444 Annual depression screening, 5 to 15 minutes | $36 | $15 | $15 | 67 |
36415 Insertion of needle into vein for collection of blood sample | $11 | $8 | $8 | 146 |
81003 Automated urinalysis test | $6 | $2 | $2 | 16 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.