Annual Physical ExamChronic Disease ManagementPreventive ScreeningBlood Pressure ManagementDiabetes ManagementCholesterol ManagementImmunizationsEKGSpirometryHealth Risk Assessment

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	$662	$281	$281	20
99496 Transitional care management services for problem of high complexity	$467	$262	$210	12
99205 New patient office or other outpatient visit, 60-74 minutes	$399	$210	$135	13
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	$328	$158	$158	52
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	$320	$158	$158	13
99204 New patient office or other outpatient visit, 45-59 minutes	$315	$159	$87	32
99215 Established patient office or other outpatient visit, 40-54 minutes	$282	$171	$130	42
77080 Dxa bone density measurement of hip, pelvis, spine	$251	$35	$35	15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	$223	$123	$123	140
99214 Established patient office or other outpatient visit, 30-39 minutes	$211	$121	$86	687
90662 Influenza vaccine split virus, preservative free	$185	$72	$72	39
99213 Established patient office or other outpatient visit, 20-29 minutes	$145	$86	$59	145
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	$143	$45	$36	97
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	$115	$45	$36	83
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	$112	$46	$37	31
82306 Vitamin d-3 level	$102	$29	$29	72
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	$102	$60	$47	346
G0103 Prostate cancer screening; prostate specific antigen test (psa)	$82	$19	$19	42
84153 Psa (prostate specific antigen) measurement, total	$82	$18	$18	25
84443 Blood test, thyroid stimulating hormone (tsh)	$68	$16	$16	233
82607 Cyanocobalamin (vitamin b-12) level	$67	$15	$15	27
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	$65	$14	$10	14
82728 Ferritin (blood protein) level	$63	$13	$13	19
84466 Transferrin (iron binding protein) level	$61	$13	$13	22
71046 X-ray of chest, 2 views	$60	$21	$16	35
96372 Injection of drug or substance under skin or into muscle	$48	$13	$11	32
80061 Blood test, lipids (cholesterol and triglycerides)	$45	$13	$13	241
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	$44	$17	$14	12
83036 Hemoglobin a1c level	$44	$10	$10	285
87400 Detection test by immunoassay technique for influenza virus	$41	$14	$14	28
G0009 Administration of pneumococcal vaccine	$40	$29	$29	20
80076 Liver function blood test panel	$38	$8	$8	249
80048 Blood test, basic group of blood chemicals (calcium, total)	$36	$8	$8	300
G0008 Administration of influenza virus vaccine	$35	$29	$29	43
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	$31	$8	$8	274
84439 Thyroxine (thyroid chemical), free	$29	$9	$9	24
83540 Iron level	$29	$6	$6	22
82043 Urine microalbumin (protein) level	$27	$6	$6	45
82570 Creatinine level to test for kidney function or muscle injury	$24	$5	$5	45
84550 Uric acid level, blood	$22	$4	$4	11
81001 Manual urinalysis test with examination using microscope, automated	$14	$3	$3	246
36415 Insertion of needle into vein for collection of blood sample	$11	$8	$8	425

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

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