Physician
Hess Orthopaedic Center and Sports Medicine, PLC
Hess Orthopaedic Center and Sports Medicine, PLC was paid $353K by Medicaid between Nov 2018 and Oct 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoHESS ORTHOPAEDIC CENTER AND SPORTS MEDICINE, PLC
HARRISONBURG, VA 22801
HARRISONBURG, VA 22801
33aNPI1396775193assigned 07/04/2006
33bProvider typeOrthopaedic Surgery Physician
28Total paid$353K
24GClaims6,971
24DCodes billed11
24AFirst – last monthNov 2018 – Oct 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in Virginia
Rank by total paid#10 of 79
Median peer was paid$6K
This provider vs. median58×
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 | 38 | $960.19 | |
| 2019 | 685 | $27K | |
| 2020 | 955 | $40K | |
| 2021 | 1,548 | $72K | |
| 2022 | 1,858 | $99K | |
| 2023 | 1,509 | $90K | |
| 2024incomplete | 378 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 57% | 3,158 | 2,802 | $201K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 1,910 | 1,681 | $96K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.5% | 249 | 240 | $23K |
| 73630 | 3.8% | 549 | 411 | $13K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.7% | 189 | 180 | $13K |
| 80305 | <1% | 230 | 199 | $2K | |
| 27096 | <1% | 12 | 12 | $2K | |
| 73610 | <1% | 60 | 54 | $1K | |
| Q9965 | Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml | <1% | 517 | 231 | $1K |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 13 | 13 | $53.56 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 84 | 40 | $22.84 |
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.
From NPPES
Who's on the registration
Authorized officialAGRICOLA, LINDSAY (FINANCIAL MANAGER)