Physician
Internal Medicine
Internal Medicine
JACKSONVILLE, TX
CHRISTUS MOTHER FRANCES HOSPITAL- JACKSONVILLE
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 | $320 | $282 | $282 | 78 |
99496 Transitional care management services for problem of high complexity | $300 | $254 | $203 | 22 |
99495 Transitional care management services for problem of at least moderate complexity | $220 | $195 | $156 | 22 |
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | $200 | $158 | $158 | 11 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $170 | $120 | $74 | 475 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $150 | $124 | $124 | 241 |
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 | $145 | $40 | $28 | 31 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $139 | $14 | $9 | 47 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $133 | $86 | $56 | 303 |
99212 Established patient office or other outpatient visit, 10-19 minutes | $116 | $54 | $33 | 40 |
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | $86 | $22 | $14 | 202 |
90662 Influenza vaccine split virus, preservative free | $80 | $71 | $71 | 108 |
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | $75 | $60 | $33 | 72 |
90686 Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | $60 | $22 | $22 | 47 |
81000 Manual urinalysis test with examination using microscope, non-automated | $48 | $4 | $4 | 228 |
G0009 Administration of pneumococcal vaccine | $45 | $30 | $30 | 77 |
G0008 Administration of influenza virus vaccine | $35 | $29 | $29 | 160 |
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg | $25 | $1 | $1 | 328 |
96372 Injection of drug or substance under skin or into muscle | $25 | $14 | $9 | 84 |
Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.