Physician
Family Medicine
Family Medicine
SAN PEDRO, CA
PROVIDENCE LITTLE CO OF MARY MED CTR SAN PEDRO
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 | $504 | $282 | $282 | 18 |
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $193 | $140 | $140 | 32 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $184 | $138 | $89 | 89 |
99442 Telephone medical discussion with physician, 11-20 minutes | $129 | $79 | $50 | 19 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $126 | $98 | $64 | 235 |
G0008 Administration of influenza virus vaccine | $58 | $33 | $33 | 14 |
G0009 Administration of pneumococcal vaccine | $58 | $33 | $33 | 18 |
G0444 Annual depression screening, 5 to 15 minutes | $41 | $21 | $21 | 15 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.