Physician
Family Medicine
Family Medicine
PLYMOUTH, MN
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 |
|---|---|---|---|---|
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | $427 | $126 | $126 | 41 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $398 | $124 | $85 | 259 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $276 | $88 | $51 | 151 |
91322 Sarscov2 vac 50 mcg/0.5ml im | $248 | $143 | $143 | 34 |
90480 Admn sarscov2 vacc 1 dose | $153 | $40 | $40 | 34 |
71046 X-ray of chest, 2 views | $107 | $32 | $23 | 11 |
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | $92 | $76 | $76 | 42 |
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | $81 | $14 | $10 | 27 |
G0009 Administration of pneumococcal vaccine | $75 | $30 | $30 | 12 |
G0008 Administration of influenza virus vaccine | $73 | $30 | $30 | 49 |
96372 Injection of drug or substance under skin or into muscle | $45 | $14 | $11 | 34 |
G0103 Prostate cancer screening; prostate specific antigen test (psa) | $34 | $19 | $19 | 25 |
84443 Blood test, thyroid stimulating hormone (tsh) | $30 | $16 | $16 | 42 |
80061 Blood test, lipids (cholesterol and triglycerides) | $24 | $13 | $13 | 56 |
83036 Hemoglobin a1c level | $17 | $10 | $10 | 60 |
96127 Assessment of emotional or behavioral problems | $16 | $5 | $3 | 37 |
80048 Blood test, basic group of blood chemicals (calcium, total) | $15 | $8 | $8 | 141 |
80076 Liver function blood test panel | $15 | $8 | $8 | 40 |
83718 Hdl cholesterol level | $15 | $8 | $8 | 13 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $14 | $8 | $8 | 26 |
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test | $12 | $6 | $6 | 37 |
82043 Urine microalbumin (protein) level | $11 | $6 | $6 | 11 |
82570 Creatinine level to test for kidney function or muscle injury | $10 | $5 | $5 | 11 |
36415 Insertion of needle into vein for collection of blood sample | $9 | $8 | $8 | 214 |
82465 Cholesterol level | $8 | $4 | $4 | 13 |
82947 Blood glucose (sugar) level | $7 | $4 | $4 | 14 |
81001 Manual urinalysis test with examination using microscope, automated | $6 | $3 | $3 | 30 |
85018 Blood count, hemoglobin | $4 | $2 | $2 | 25 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.