Physician
Family Medicine
Family Medicine
ESPANOLA, NM
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 |
|---|---|---|---|---|
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $583 | $274 | $274 | 39 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $365 | $159 | $159 | 36 |
99204 New patient office or other outpatient visit, 45-59 minutes | $355 | $152 | $81 | 15 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $247 | $124 | $124 | 119 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $232 | $120 | $81 | 393 |
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $90 | $60 | $48 | 57 |
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | $80 | $45 | $36 | 36 |
G0008 Administration of influenza virus vaccine | $53 | $29 | $29 | 19 |
G0009 Administration of pneumococcal vaccine | $51 | $29 | $29 | 38 |
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $49 | $22 | $15 | 11 |
71046 X-ray of chest, 2 views | $45 | $21 | $17 | 12 |
90686 Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | $42 | $22 | $22 | 20 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $37 | $14 | $11 | 20 |
83036 Hemoglobin a1c level | $29 | $10 | $10 | 32 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.