Physician
Internal Medicine
Internal Medicine
JEFFERSON CITY, MO
SSM HEALTH ST. MARY'S HOSPITAL - JEFFERSON CITY
ssmhealth.com/locations/mid-missouri/st-marys-hospital-jefferson-city
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 | $573 | $281 | $281 | 13 |
99204 New patient office or other outpatient visit, 45-59 minutes | $293 | $157 | $119 | 13 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $280 | $168 | $120 | 68 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $215 | $120 | $80 | 1,036 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $174 | $121 | $121 | 377 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $150 | $84 | $51 | 78 |
90662 Influenza vaccine split virus, preservative free | $115 | $72 | $72 | 226 |
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 | $98 | $48 | $39 | 26 |
83880 Natriuretic peptide (heart and blood vessel protein) level | $94 | $38 | $38 | 19 |
82306 Vitamin d-3 level | $82 | $29 | $29 | 76 |
0124A Adm sarscv2 bvl 30mcg/.3ml a | $58 | $40 | $40 | 20 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $52 | $19 | $19 | 43 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $50 | $13 | $11 | 19 |
84443 Blood test, thyroid stimulating hormone (tsh) | $48 | $16 | $16 | 610 |
G0009 Administration of pneumococcal vaccine | $43 | $30 | $30 | 12 |
82607 Cyanocobalamin (vitamin b-12) level | $43 | $15 | $15 | 79 |
96372 Injection of drug or substance under skin or into muscle | $42 | $13 | $9 | 42 |
80061 Blood test, lipids (cholesterol and triglycerides) | $41 | $13 | $13 | 691 |
G0008 Administration of influenza virus vaccine | $37 | $30 | $30 | 233 |
80053 Blood test, comprehensive group of blood chemicals | $32 | $10 | $10 | 323 |
83036 Hemoglobin a1c level | $30 | $10 | $10 | 235 |
G0444 Annual depression screening, 5 to 15 minutes | $27 | $17 | $17 | 37 |
84439 Thyroxine (thyroid chemical), free | $26 | $9 | $9 | 234 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $24 | $8 | $8 | 275 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $24 | $8 | $8 | 508 |
83735 Magnesium level | $19 | $7 | $7 | 14 |
82043 Urine microalbumin (protein) level | $16 | $6 | $6 | 35 |
82570 Creatinine level to test for kidney function or muscle injury | $15 | $5 | $5 | 32 |
84550 Uric acid level, blood | $13 | $4 | $4 | 19 |
36415 Insertion of needle into vein for collection of blood sample | $10 | $8 | $8 | 932 |
81001 Manual urinalysis test with examination using microscope, automated | $9 | $3 | $3 | 77 |
85652 Red blood cell sedimentation rate, to detect inflammation, automated | $8 | $2 | $2 | 13 |
81015 Urinalysis using microscope | $8 | $3 | $3 | 12 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.