Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 7 | 271 | 289 | $32,790 | $16,983 |
| 2022 | 7 | 239 | 251 | $25,360 | $13,174 |
| 2021 | 5 | 184 | 186 | $19,405 | $11,160 |
| 2020 | 5 | 219 | 225 | $26,295 | $14,596 |
All Medicare Procedures & Services
24 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 91 | 91 | $12,740 | $7,394 | 58.0% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 58 | 67 | $6,365 | $3,504 | 55.1% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 22 | 22 | $3,190 | $1,853 | 58.1% |
| 92014 | Established patient complete exam of visual system | Office | 2023 | 20 | 21 | $2,835 | $1,718 | 60.6% |
| 92250 | Photography of the retina | Office | 2023 | 53 | 54 | $5,130 | $1,399 | 27.3% |
| 92083 | Exam of visual field with extended testing | Office | 2023 | 13 | 15 | $1,200 | $558.30 | 46.5% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2023 | 14 | 19 | $1,330 | $557.05 | 41.9% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 64 | 64 | $8,610 | $5,398 | 62.7% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 62 | 71 | $6,195 | $3,547 | 57.3% |
| 92014 | Established patient complete exam of visual system | Office | 2022 | 22 | 22 | $2,750 | $1,881 | 68.4% |
| 92250 | Photography of the retina | Office | 2022 | 50 | 50 | $4,595 | $1,115 | 24.3% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2022 | 16 | 18 | $1,110 | $537.79 | 48.4% |
| 92083 | Exam of visual field with extended testing | Office | 2022 | 14 | 15 | $1,200 | $512.90 | 42.7% |
| 92133 | Imaging of optic nerve | Office | 2022 | 11 | 11 | $900.00 | $182.28 | 20.3% |
| 99214 | Established patient outpatient visit, total time 30-39 minutes | Office | 2021 | 58 | 59 | $7,670 | $4,848 | 63.2% |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | Office | 2021 | 64 | 65 | $5,525 | $3,666 | 66.3% |
| 99204 | New patient outpatient visit, total time 45-59 minutes | Office | 2021 | 14 | 14 | $1,890 | $1,009 | 53.4% |
| 92250 | Photography of the retina | Office | 2021 | 34 | 34 | $3,060 | $917.14 | 30.0% |
| 99203 | New patient outpatient visit, total time 30-44 minutes | Office | 2021 | 14 | 14 | $1,260 | $720.00 | 57.1% |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | Office | 2020 | 122 | 122 | $15,860 | $8,879 | 56.0% |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | Office | 2020 | 31 | 31 | $4,185 | $2,749 | 65.7% |
| 92250 | Photography of the retina | Office | 2020 | 38 | 38 | $3,420 | $1,256 | 36.7% |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | Office | 2020 | 17 | 22 | $1,870 | $1,174 | 62.8% |
| 92083 | Measurement of field of vision during daylight conditions | Office | 2020 | 11 | 12 | $960.00 | $537.92 | 56.0% |
About Dr. Nicholas Hess, O.D
Dr. Nicholas Hess, O.D is a Optometrist healthcare provider based in Middleburg, Pennsylvania. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 07/03/2007. The National Provider Identifier (NPI) number assigned to this provider is 1255539169.
As a Medicare-enrolled provider, Hess has provided services to 913 Medicare beneficiaries, totaling 951 services with total Medicare billing of $55,914. Data is available for 4 years (2020–2023), covering 24 distinct procedure/service records.
Practice Information
- Specialty Optometrist
- Location Middleburg, PA
- Active Since 07/03/2007
- Last Updated 02/22/2012
- Taxonomy Code 152W00000X
- Entity Type Individual
- NPI Number 1255539169
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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