Annual Physical ExamWell-Child VisitImmunizationsChronic Disease ManagementSports PhysicalMinor Wound CareSkin Lesion RemovalJoint InjectionPreventive ScreeningMental Health Screening

Based on specialty. Actual services may vary — contact the provider's office to confirm.

Procedure Pricing (Medicare Data)

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	$457	$281	$281	17
99204 New patient office or other outpatient visit, 45-59 minutes	$363	$159	$93	34
99215 Established patient office or other outpatient visit, 40-54 minutes	$320	$170	$134	79
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	$247	$63	$50	144
99214 Established patient office or other outpatient visit, 30-39 minutes	$242	$122	$91	438
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	$236	$163	$163	13
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	$204	$34	$34	51
99497 Advance care planning, first 30 minutes	$199	$81	$78	85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	$177	$127	$127	99
99213 Established patient office or other outpatient visit, 20-29 minutes	$171	$87	$65	149
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	$150	$46	$37	60
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	$146	$46	$37	102
96136 Administration of psychological or neuropsychological test, first 30 minutes	$144	$41	$30	12
99458 Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes	$119	$38	$30	155
90662 Influenza vaccine split virus, preservative free	$99	$70	$70	45
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	$69	$14	$9	57
87804 Detection test by immunoassay with direct visual observation for influenza virus	$67	$16	$16	93
96372 Injection of drug or substance under skin or into muscle	$67	$14	$11	115
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	$58	$18	$14	17
G0009 Administration of pneumococcal vaccine	$46	$31	$31	20
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	$38	$25	$25	30
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	$38	$14	$14	17
G0008 Administration of influenza virus vaccine	$37	$30	$30	49
G0444 Annual depression screening, 5 to 15 minutes	$27	$18	$18	100
G0442 Annual alcohol misuse screening, 5 to 15 minutes	$27	$18	$18	116
81003 Automated urinalysis test	$20	$2	$2	270
J0696 Injection, ceftriaxone sodium, per 250 mg	$10	$0	$0	53

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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.

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