KENNETH HESS, DO
Family Medicine Physician · BRISTOL, TN
Individual Active NPI 1275763229
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 166 | 3,070 | $177,472 | $103,453 | $85,407 |
| 2023 | 147 | 2,600 | $152,533 | $94,388 | $78,402 |
| 2022 | 157 | 2,387 | $169,364 | $79,927 | $67,112 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 331 | $118 | $84 |
| 36415 | Insertion of needle into vein for collection of blood sample | 311 | $9 | $9 |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 152 | $6 | $6 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 151 | $13 | $13 |
| 83036 | Hemoglobin a1c level | 134 | $9 | $9 |
| 80053 | Blood test, comprehensive group of blood chemicals | 125 | $10 | $10 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 97 | $122 | $122 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 94 | $83 | $55 |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 87 | $16 | $16 |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 80 | $8 | $8 |
| 82306 | Vitamin d-3 level | 76 | $29 | $29 |
| 82570 | Creatinine level to test for kidney function or muscle injury | 70 | $5 | $5 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 2400 | TN |
| Family Medicine Physician | 207Q00000X | 0102202746 | VA |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.