Hess, Kenneth

Hess, Kenneth was paid $19K by Medicaid between Oct 2018 and Jul 2019, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.

33Billing provider infoHESS, KENNETH
BRISTOL, TN 37620

33aNPI1275763229assigned 07/23/2009

33bProvider typeFamily Medicine Physician

28Total paid$19K

24GClaims296

24DCodes billed4

24AFirst – last monthOct 2018 – Jul 2019

Compared with peers

Next to other Family Medicine Physician providers in Tennessee

Rank by total paid#450 of 754

Median peer was paid$34K

This provider vs. median0.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	67	$3K
2019	229	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	82%	183	174	$15K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	17%	33	28	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.0%	44	42	$189.15
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	0%	36	16	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.