Physician
Hess, Kenton
Hess, Kenton was paid $36K by Medicaid between Mar 2021 and Oct 2024, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.
33Billing provider infoHESS, KENTON
UNIONTOWN, PA 15401
UNIONTOWN, PA 15401
33aNPI1285164863assigned 06/15/2017
33bProvider typeFamily Medicine Physician
28Total paid$36K
24GClaims1,825
24DCodes billed8
24AFirst – last monthMar 2021 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in Pennsylvania
Rank by total paid#1,086 of 2,756
Median peer was paid$19K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2021 | 174 | $6K | |
| 2022 | 212 | $5K | |
| 2023 | 905 | $15K | |
| 2024incomplete | 534 | $10K |
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 | 67% | 719 | 679 | $24K |
| 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 | 22% | 206 | 204 | $8K |
| G0444 | Annual depression screening, 5 to 15 minutes | 11% | 310 | 310 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 12 | 12 | $79.20 |
| 3079F | <1% | 354 | 346 | $0.01 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 65 | 65 | $0.00 |
| 3078F | 0% | 132 | 128 | $0.00 | |
| 99499 | 0% | 27 | 26 | $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.