Physician
Diagnostic Radiology
Diagnostic Radiology
GEORGETOWN, TX
ST DAVID'S MEDICAL CENTER
DELL SETON MED CENTER AT THE UNIVERSITY OF TX
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 |
|---|---|---|---|---|
77301 High precision radiation therapy planning | $5,817 | $1,750 | $1,394 | 31 |
77373 Cranial lesion surgery using radiation over multiple sessions | $3,454 | $951 | $755 | 55 |
77435 Management of cranial lesion surgery using radiation over multiple sessions | $1,947 | $639 | $509 | 15 |
77290 Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved | $1,461 | $417 | $332 | 15 |
77338 Design and construction of radiation treatment device for high precision radiation therapy | $1,443 | $445 | $354 | 31 |
77295 3d radiation therapy planning | $1,186 | $342 | $256 | 14 |
G6015 Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | $1,176 | $341 | $271 | 338 |
74177 Ct scan of abdomen and pelvis with contrast | $859 | $222 | $177 | 36 |
G6012 Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev | $760 | $223 | $177 | 121 |
99205 New patient office or other outpatient visit, 60-74 minutes | $644 | $209 | $165 | 41 |
J9217 Leuprolide acetate (for depot suspension), 7.5 mg | $621 | $177 | $131 | 71 |
77427 Radiation treatment management, 5 treatment sessions | $584 | $183 | $146 | 123 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $540 | $172 | $137 | 35 |
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | $531 | $167 | $127 | 17 |
77263 Complex radiation therapy planning | $511 | $168 | $134 | 14 |
71260 Ct scan of chest with contrast | $489 | $64 | $48 | 39 |
77470 Special radiation treatment | $458 | $126 | $100 | 23 |
96413 Administration of chemotherapy into vein, 1 hour or less | $433 | $122 | $85 | 65 |
99204 New patient office or other outpatient visit, 45-59 minutes | $431 | $162 | $107 | 11 |
77014 Ct guidance for insertion of radiation therapy fields | $399 | $115 | $92 | 337 |
99443 Telephone medical discussion with physician, 21-30 minutes | $394 | $96 | $76 | 14 |
77334 Design and construction of complex radiation treatment device | $354 | $108 | $82 | 52 |
74176 Ct scan of abdomen and pelvis without contrast | $352 | $89 | $71 | 13 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $325 | $122 | $88 | 157 |
71250 Ct scan of chest without contrast | $284 | $44 | $35 | 13 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $279 | $65 | $52 | 22 |
77336 Continuing radiation therapy consultation per week | $270 | $81 | $65 | 118 |
99442 Telephone medical discussion with physician, 11-20 minutes | $268 | $86 | $60 | 64 |
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | $197 | $61 | $43 | 77 |
96367 Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less | $182 | $28 | $19 | 169 |
99212 Established patient office or other outpatient visit, 10-19 minutes | $174 | $35 | $28 | 14 |
77300 Calculation of radiation therapy dose | $164 | $52 | $41 | 191 |
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle | $106 | $32 | $25 | 58 |
J1569 Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | $100 | $45 | $35 | 1,570 |
96366 Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | $61 | $20 | $13 | 32 |
J0897 Injection, denosumab, 1 mg | $48 | $22 | $18 | 2,280 |
96372 Injection of drug or substance under skin or into muscle | $48 | $13 | $9 | 89 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $24 | $8 | $8 | 95 |
82565 Blood creatinine level | $16 | $5 | $5 | 27 |
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg | $12 | $4 | $3 | 56 |
J1200 Injection, diphenhydramine hcl, up to 50 mg | $3 | $1 | $1 | 43 |
Q0138 Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) | $2 | $1 | $0 | 12,750 |
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | $1 | $0 | $0 | 5,040 |
J1100 Injection, dexamethasone sodium phosphate, 1 mg | $1 | $0 | $0 | 529 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.