Physician
Family Medicine
Family Medicine
OGDEN, UT
INTERMOUNTAIN HEALTH LAYTON 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 |
|---|---|---|---|---|
99495 Transitional care management services for problem of at least moderate complexity | $375 | $194 | $154 | 42 |
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $325 | $278 | $278 | 65 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $257 | $157 | $157 | 23 |
99204 New patient office or other outpatient visit, 45-59 minutes | $254 | $159 | $117 | 19 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $236 | $157 | $157 | 18 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $182 | $121 | $83 | 2,050 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $171 | $122 | $122 | 397 |
20610 Aspiration and/or injection of fluid from large joint | $171 | $67 | $49 | 46 |
99203 New patient office or other outpatient visit, 30-44 minutes | $167 | $106 | $85 | 11 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $133 | $84 | $61 | 188 |
17000 Destruction of precancer skin growth, 1 growth | $125 | $62 | $42 | 152 |
90732 Pneumococcal vaccine, 23-valent | $120 | $118 | $118 | 23 |
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | $100 | $45 | $45 | 115 |
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 | $100 | $49 | $38 | 45 |
83880 Natriuretic peptide (heart and blood vessel protein) level | $81 | $38 | $38 | 17 |
90662 Influenza vaccine split virus, preservative free | $80 | $71 | $71 | 192 |
69210 Removal of impacted ear wax | $79 | $39 | $29 | 71 |
G0179 Physician or allowed practitioner re-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 a | $77 | $39 | $30 | 32 |
83970 Parathormone (parathyroid hormone) level | $76 | $40 | $40 | 38 |
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | $75 | $50 | $50 | 11 |
82306 Vitamin d-3 level | $73 | $29 | $29 | 159 |
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination | $52 | $37 | $37 | 29 |
84403 Testosterone (hormone) level, total | $48 | $25 | $25 | 19 |
84153 Psa (prostate specific antigen) measurement, total | $46 | $18 | $18 | 53 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $42 | $14 | $9 | 189 |
84443 Blood test, thyroid stimulating hormone (tsh) | $42 | $16 | $16 | 569 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $40 | $19 | $19 | 86 |
82607 Cyanocobalamin (vitamin b-12) level | $39 | $15 | $15 | 171 |
96372 Injection of drug or substance under skin or into muscle | $37 | $13 | $9 | 60 |
82746 Folic acid level, serum | $36 | $14 | $14 | 14 |
82728 Ferritin (blood protein) level | $36 | $13 | $13 | 57 |
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $33 | $21 | $14 | 64 |
80061 Blood test, lipids (cholesterol and triglycerides) | $33 | $13 | $13 | 487 |
G0009 Administration of pneumococcal vaccine | $32 | $29 | $29 | 88 |
G0008 Administration of influenza virus vaccine | $32 | $29 | $29 | 194 |
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | $30 | $16 | $16 | 56 |
87804 Detection test by immunoassay with direct visual observation for influenza virus | $30 | $16 | $16 | 14 |
80053 Blood test, comprehensive group of blood chemicals | $27 | $10 | $10 | 992 |
83036 Hemoglobin a1c level | $24 | $10 | $10 | 401 |
83550 Iron binding capacity | $22 | $9 | $9 | 55 |
84439 Thyroxine (thyroid chemical), free | $22 | $9 | $9 | 38 |
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | $21 | $8 | $8 | 34 |
82043 Urine microalbumin (protein) level | $20 | $6 | $6 | 107 |
87086 Bacterial colony count, urine | $20 | $8 | $8 | 98 |
17003 Destruction of precancer skin growth, 2-14 growths | $20 | $6 | $4 | 313 |
87088 Bacterial urine culture | $18 | $8 | $8 | 34 |
83690 Lipase (fat enzyme) level | $17 | $7 | $7 | 21 |
83540 Iron level | $16 | $6 | $6 | 55 |
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg | $14 | $1 | $1 | 223 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $14 | $8 | $8 | 944 |
Showing top 50 of 59 procedures by charge amount.
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.