Physician
Physician Assistant, Surgical
Physician Assistant, Surgical
JACKSON, MS
ST DOMINIC-JACKSON MEMORIAL HOSPITAL
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 |
|---|---|---|---|---|
22633 Fusion of spine in lower back with partial removal of spine bone and disc | $2,400 | $216 | $173 | 60 |
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc | $2,000 | $209 | $164 | 43 |
22612 Fusion of spine in lower back | $1,793 | $195 | $155 | 16 |
22558 Fusion of lower spine bone through abdomen with partial removal of disc | $1,730 | $127 | $100 | 23 |
63030 Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc | $1,664 | $102 | $81 | 11 |
72148 Mri scan of lower spinal canal without contrast | $1,400 | $148 | $114 | 48 |
72141 Mri scan of upper spinal canal without contrast | $1,400 | $149 | $118 | 12 |
63047 Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | $1,400 | $134 | $106 | 45 |
22845 Placement of stabilizing device to front, 2-3 spine bone segments | $1,060 | $89 | $71 | 49 |
22842 Placement of stabilizing device to back, 3-6 spine bone segments | $1,040 | $94 | $75 | 26 |
22840 Placement of stabilizing device to back of 1 spine bone in neck | $940 | $92 | $73 | 49 |
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc | $600 | $49 | $39 | 22 |
22634 Fusion of additional segment of spine with partial removal of spine bone and disc | $600 | $59 | $47 | 21 |
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion | $401 | $32 | $25 | 180 |
63048 Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | $400 | $26 | $21 | 36 |
99204 New patient office or other outpatient visit, 45-59 minutes | $225 | $129 | $82 | 58 |
20610 Aspiration and/or injection of fluid from large joint | $220 | $52 | $39 | 28 |
63053 Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back | $198 | $28 | $22 | 40 |
72050 X-ray of upper spine, 4-5 views | $195 | $40 | $27 | 53 |
72110 X-ray of lower and sacral spine, minimum of 4 views | $195 | $38 | $27 | 233 |
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back | $184 | $31 | $25 | 60 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $180 | $139 | $106 | 66 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $140 | $98 | $71 | 683 |
72100 X-ray of lower and sacral spine, 2-3 views | $125 | $30 | $22 | 133 |
72040 X-ray of upper spine, 2-3 views | $115 | $29 | $23 | 53 |
96372 Injection of drug or substance under skin or into muscle | $50 | $11 | $8 | 59 |
J1885 Injection, ketorolac tromethamine, per 15 mg | $30 | $1 | $0 | 168 |
J1030 Injection, methylprednisolone acetate, 40 mg | $15 | $8 | $6 | 64 |
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | $8 | $7 | $5 | 19 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.