Physician
Internal Medicine
Internal Medicine
ELMHURST, IL
LOYOLA GOTTLIEB MEMORIAL 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 |
|---|---|---|---|---|
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | $851 | $282 | $282 | 14 |
99204 New patient office or other outpatient visit, 45-59 minutes | $359 | $174 | $116 | 16 |
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | $352 | $171 | $171 | 12 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $340 | $171 | $171 | 17 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $307 | $186 | $144 | 16 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $229 | $133 | $87 | 804 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $229 | $133 | $133 | 457 |
99441 Telephone medical discussion with physician, 5-10 minutes | $179 | $57 | $42 | 28 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $157 | $94 | $61 | 349 |
82306 Vitamin d-3 level | $152 | $29 | $29 | 121 |
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | $114 | $54 | $40 | 26 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $103 | $75 | $75 | 71 |
84153 Psa (prostate specific antigen) measurement, total | $94 | $18 | $18 | 92 |
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | $87 | $43 | $34 | 18 |
84443 Blood test, thyroid stimulating hormone (tsh) | $86 | $16 | $16 | 79 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $72 | $15 | $10 | 25 |
80061 Blood test, lipids (cholesterol and triglycerides) | $69 | $13 | $13 | 307 |
G0008 Administration of influenza virus vaccine | $55 | $32 | $32 | 73 |
80053 Blood test, comprehensive group of blood chemicals | $55 | $10 | $10 | 347 |
G0009 Administration of pneumococcal vaccine | $55 | $32 | $32 | 14 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $52 | $19 | $19 | 27 |
83036 Hemoglobin a1c level | $50 | $10 | $10 | 304 |
84439 Thyroxine (thyroid chemical), free | $46 | $8 | $8 | 23 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $44 | $8 | $8 | 34 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $40 | $8 | $8 | 350 |
82043 Urine microalbumin (protein) level | $30 | $6 | $6 | 66 |
82570 Creatinine level to test for kidney function or muscle injury | $27 | $5 | $5 | 67 |
85610 Blood test, clotting time | $20 | $4 | $4 | 26 |
36415 Insertion of needle into vein for collection of blood sample | $20 | $8 | $8 | 445 |
81003 Automated urinalysis test | $12 | $2 | $2 | 12 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.