Physician
Family Medicine
Family Medicine
EVERGREEN PARK, IL
OSF LITTLE COMPANY OF MARY MEDICAL CENTER
osfhealthcare.org/locations/osf-little-company-of-mary-medical-center-evergreen-park-121895
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 |
|---|---|---|---|---|
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $350 | $282 | $282 | 31 |
99495 Transitional care management services for problem of at least moderate complexity | $295 | $212 | $160 | 19 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $248 | $166 | $166 | 26 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $225 | $187 | $141 | 20 |
99204 New patient office or other outpatient visit, 45-59 minutes | $214 | $172 | $121 | 52 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $200 | $133 | $133 | 187 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $163 | $131 | $90 | 1,125 |
99203 New patient office or other outpatient visit, 30-44 minutes | $145 | $119 | $78 | 88 |
73630 X-ray of foot, minimum of 3 views | $140 | $36 | $21 | 11 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $125 | $94 | $58 | 631 |
71046 X-ray of chest, 2 views | $125 | $35 | $23 | 110 |
90662 Influenza vaccine split virus, preservative free | $85 | $69 | $69 | 78 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $80 | $15 | $10 | 100 |
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | $80 | $40 | $40 | 179 |
94640 Inhalation treatment for airway obstruction or sputum production | $50 | $9 | $7 | 16 |
90714 Diphtheria and tetanus vaccine (7 years or older) | $45 | $29 | $20 | 14 |
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg | $40 | $6 | $4 | 31 |
G0008 Administration of influenza virus vaccine | $35 | $31 | $31 | 84 |
90471 Administration of vaccine | $35 | $21 | $14 | 15 |
G0444 Annual depression screening, 5 to 15 minutes | $35 | $19 | $19 | 45 |
G0009 Administration of pneumococcal vaccine | $34 | $32 | $32 | 31 |
83036 Hemoglobin a1c level | $30 | $9 | $9 | 178 |
87804 Detection test by immunoassay with direct visual observation for influenza virus | $27 | $16 | $16 | 174 |
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | $25 | $16 | $16 | 91 |
81003 Automated urinalysis test | $22 | $2 | $2 | 165 |
82962 Blood glucose (sugar) test performed by hand-held instrument | $19 | $3 | $3 | 148 |
J0696 Injection, ceftriaxone sodium, per 250 mg | $10 | $1 | $0 | 324 |
J1885 Injection, ketorolac tromethamine, per 15 mg | $10 | $1 | $0 | 52 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.