Physician
Hess, Derek
Hess, Derek was paid $310K by Medicaid between Jan 2019 and Nov 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 59% of everything it billed.
33Billing provider infoHESS, DEREK
ST PETERSBURG, FL 33702
ST PETERSBURG, FL 33702
33aNPI1992726657assigned 07/21/2006
28Total paid$310K
24GClaims6,657
24DCodes billed9
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Pediatric Ophthalmology and Strabismus Specialist Physician Physician providers in Florida
Rank by total paid#2 of 7
Median peer was paid$16K
This provider vs. median19×
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 | |
|---|---|---|---|
| 2019 | 426 | $29K | |
| 2020 | 69 | $6K | |
| 2021 | 241 | $16K | |
| 2022 | 3,029 | $90K | |
| 2023 | 2,152 | $111K | |
| 2024incomplete | 740 | $57K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 59% | 1,945 | 1,525 | $183K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 18% | 744 | 477 | $56K |
| 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 | 11% | 503 | 316 | $33K |
| 99223 | Prolong inpt eval add15 m | 4.6% | 90 | 86 | $14K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.0% | 186 | 130 | $9K |
| 92060 | 2.1% | 1,550 | 1,150 | $6K | |
| 92201 | 1.7% | 86 | 56 | $5K | |
| 92015 | Determination of refractive state | <1% | 1,537 | 985 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 16 | 12 | $875.43 |
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.