Hess, Gary
Hess, Gary was paid $296K by Medicaid between Oct 2020 and Dec 2024, across 10 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 33% of everything it billed.
33Billing provider infoHESS, GARY
ROCHESTER, PA 15074
ROCHESTER, PA 15074
33aNPI1750350807assigned 03/14/2006
33bProvider typeOptometrist
28Total paid$296K
24GClaims6,850
24DCodes billed10
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#94 of 983
Median peer was paid$20K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2020 | 252 | $11K | |
| 2021 | 1,640 | $70K | |
| 2022 | 1,579 | $69K | |
| 2023 | 1,639 | $71K | |
| 2024incomplete | 1,740 | $76K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 33% | 1,727 | 1,648 | $97K |
| V2020 | Frames, purchases | 32% | 2,183 | 2,152 | $95K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 11% | 1,117 | 1,108 | $34K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 10% | 776 | 773 | $31K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 9.5% | 527 | 508 | $28K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 1.4% | 140 | 140 | $4K |
| V2025 | Deluxe frame | <1% | 182 | 175 | $2K |
| 92002 | <1% | 48 | 45 | $2K | |
| 92015 | Determination of refractive state | <1% | 84 | 83 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 66 | 61 | $1K |
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.