Physician
Internal Medicine
Internal Medicine
ROY, UT
INTERMOUNTAIN MEDICAL CENTER
intermountainhealthcare.org/locations/intermountain-medical-center
UNIVERSITY OF UTAH HOSPITAL AND CLINICS
healthcare.utah.edu/hospital/?utm_source=google&utm_medium=yext
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 | $450 | $282 | $282 | 35 |
91320 Sarscv2 vac 30mcg trs-suc im | $348 | $128 | $128 | 50 |
77067 Screening mammography | $275 | $120 | $120 | 22 |
99495 Transitional care management services for problem of at least moderate complexity | $255 | $194 | $138 | 20 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $237 | $164 | $126 | 24 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $190 | $123 | $123 | 328 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $187 | $157 | $157 | 31 |
77080 Dxa bone density measurement of hip, pelvis, spine | $179 | $35 | $35 | 59 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $170 | $121 | $80 | 519 |
77063 Screening 3d breast mammography | $150 | $50 | $50 | 18 |
71046 X-ray of chest, 2 views | $120 | $32 | $20 | 19 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $115 | $86 | $56 | 212 |
99212 Established patient office or other outpatient visit, 10-19 minutes | $75 | $54 | $37 | 38 |
90662 Influenza vaccine split virus, preservative free | $70 | $68 | $68 | 92 |
82306 Vitamin d-3 level | $62 | $29 | $29 | 158 |
84154 Psa (prostate specific antigen) measurement, free | $47 | $18 | $18 | 17 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $45 | $14 | $9 | 23 |
82607 Cyanocobalamin (vitamin b-12) level | $40 | $15 | $15 | 171 |
G0009 Administration of pneumococcal vaccine | $40 | $29 | $29 | 44 |
84443 Blood test, thyroid stimulating hormone (tsh) | $39 | $16 | $16 | 310 |
G0008 Administration of influenza virus vaccine | $39 | $29 | $29 | 99 |
80061 Blood test, lipids (cholesterol and triglycerides) | $37 | $13 | $13 | 302 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $36 | $19 | $19 | 64 |
90480 Admn sarscov2 vacc 1 dose | $35 | $35 | $35 | 49 |
82043 Urine microalbumin (protein) level | $35 | $5 | $5 | 30 |
84153 Psa (prostate specific antigen) measurement, total | $35 | $18 | $18 | 57 |
82746 Folic acid level, serum | $30 | $14 | $14 | 12 |
82728 Ferritin (blood protein) level | $28 | $13 | $13 | 70 |
83036 Hemoglobin a1c level | $27 | $9 | $9 | 244 |
80053 Blood test, comprehensive group of blood chemicals | $27 | $10 | $10 | 410 |
86141 Measurement c-reactive protein for detection of infection or inflammation, high sensitivity | $26 | $13 | $13 | 18 |
83721 Ldl cholesterol level | $21 | $10 | $10 | 24 |
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution | $20 | $8 | $8 | 17 |
87077 Bacterial culture for aerobic isolates | $20 | $8 | $8 | 17 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $20 | $8 | $8 | 22 |
83550 Iron binding capacity | $18 | $9 | $9 | 71 |
84439 Thyroxine (thyroid chemical), free | $18 | $9 | $9 | 279 |
87088 Bacterial urine culture | $18 | $8 | $8 | 41 |
83540 Iron level | $14 | $6 | $6 | 71 |
83735 Magnesium level | $14 | $7 | $7 | 15 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $13 | $8 | $8 | 370 |
82570 Creatinine level to test for kidney function or muscle injury | $10 | $5 | $5 | 31 |
36415 Insertion of needle into vein for collection of blood sample | $10 | $8 | $8 | 490 |
81001 Manual urinalysis test with examination using microscope, automated | $8 | $3 | $3 | 37 |
85652 Red blood cell sedimentation rate, to detect inflammation, automated | $4 | $3 | $3 | 15 |
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | $1 | $0 | $0 | 1,650 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.