Physician
Family Medicine
Family Medicine
GRAND JUNCTION, CO
INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL
intermountainhealthcare.org/locations/intermountain-health-st-marys-regional-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 |
|---|---|---|---|---|
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $423 | $166 | $166 | 18 |
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $374 | $260 | $260 | 13 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $332 | $129 | $129 | 138 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $327 | $127 | $91 | 234 |
77067 Screening mammography | $246 | $97 | $97 | 28 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $231 | $90 | $65 | 205 |
99212 Established patient office or other outpatient visit, 10-19 minutes | $145 | $56 | $36 | 20 |
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) | $116 | $45 | $45 | 16 |
90662 Influenza vaccine split virus, preservative free | $105 | $72 | $72 | 26 |
77063 Screening 3d breast mammography | $64 | $25 | $25 | 28 |
77080 Dxa bone density measurement of hip, pelvis, spine | $50 | $20 | $20 | 58 |
G0444 Annual depression screening, 5 to 15 minutes | $48 | $19 | $19 | 13 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $48 | $19 | $19 | 22 |
84153 Psa (prostate specific antigen) measurement, total | $46 | $17 | $17 | 17 |
84443 Blood test, thyroid stimulating hormone (tsh) | $42 | $16 | $16 | 52 |
G0009 Administration of pneumococcal vaccine | $37 | $29 | $29 | 15 |
G0008 Administration of influenza virus vaccine | $37 | $31 | $31 | 65 |
90686 Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | $33 | $22 | $22 | 39 |
80061 Blood test, lipids (cholesterol and triglycerides) | $33 | $13 | $13 | 91 |
80053 Blood test, comprehensive group of blood chemicals | $26 | $10 | $10 | 107 |
83036 Hemoglobin a1c level | $24 | $9 | $9 | 64 |
84439 Thyroxine (thyroid chemical), free | $23 | $9 | $9 | 33 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $21 | $8 | $8 | 17 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $19 | $8 | $8 | 41 |
82947 Blood glucose (sugar) level | $10 | $4 | $4 | 21 |
81002 Urinalysis, manual test | $9 | $3 | $3 | 13 |
36415 Insertion of needle into vein for collection of blood sample | $8 | $8 | $8 | 229 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.