Treatment Tracker

The Doctors and Services in Medicare Part B

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $189 per patient in 2015.
They performed about 5 services per patient. Here’s how this provider compares.

Number of
Patients
348
Rank: 242nd
out of 713 providers in this state & specialty
Services
Performed
3,581
Rank: 84th
out of 713 providers in this state & specialty
Avg Services
Per Patient
10.3 This Provider is in the top 10%
Avg 5.3
Total Paid
by Medicare
$154K
Rank: 57th
out of 713 providers in this state & specialty
Avg Paid
Per Patient
$443 This Provider is in the top 10%
Avg $189

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Services

This provider performed 56 different services in 2015
(33 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
512
times performed,
14% of his services

1st 1st

most performed service for this provider most performed service in this state & specialty

181
patients got this service, 52% of his patients
2.8
average number of visits a patient made for this service
(Peers: 2.2)
$87,040.00an average of $170.00 per time performed $32,942.08
an average of $64.34 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
286
times performed,
8% of his services

2nd 54th

most performed service for this provider most performed service in this state & specialty

89
patients got this service, 26% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$3,703.70an average of $12.95 per time performed $1,318.46
an average of $4.61 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
272
times performed,
8% of his services

3rd 5th

most performed service for this provider most performed service in this state & specialty

82
patients got this service, 24% of his patients
3.3
average number of visits a patient made for this service
(Peers: 3.1)
$47,600.00an average of $175.00 per time performed $14,690.72
an average of $54.01 per time performed
drug
DRUGS

Injection, ceftriaxone sodium, per 250 mg

Service Code: J0696
Performed in an office
260
times performed,
7% of his services

4th 21st

most performed service for this provider most performed service in this state & specialty

47
patients got this service, 14% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.7)
$3,250.00an average of $12.50 per time performed $130.00
an average of $0.50 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in an office
247
times performed,
7% of his services

5th 42nd

most performed service for this provider most performed service in this state & specialty

182
patients got this service, 52% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$55,575.00an average of $225.00 per time performed $20,794.93
an average of $84.19 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in an office
156
times performed,
4% of his services

6th 20th

most performed service for this provider most performed service in this state & specialty

45
patients got this service, 13% of his patients
3.5
average number of visits a patient made for this service
(Peers: 6.1)
$19,500.00an average of $125.00 per time performed $9,411.48
an average of $60.33 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 15 minutes p... +

Subsequent nursing facility visit, typically 15 minutes per day ×

Service Code: 99308
Performed in an office
148
times performed,
4% of his services

7th 36th

most performed service for this provider most performed service in this state & specialty

40
patients got this service, 11% of his patients
3.7
average number of visits a patient made for this service
(Peers: 3.3)
$14,800.00an average of $100.00 per time performed $6,927.88
an average of $46.81 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
106
times performed,
3% of his services

8th 2nd

most performed service for this provider most performed service in this state & specialty

69
patients got this service, 20% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2.3)
$13,250.00an average of $125.00 per time performed $4,615.24
an average of $43.54 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
79
times performed,
2% of his services

9th 29th

most performed service for this provider most performed service in this state & specialty

61
patients got this service, 18% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$23,700.00an average of $300.00 per time performed $11,855.53
an average of $150.07 per time performed
medical

Transitional care management services, highly complexity,... +

Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge ×

Service Code: 99496
Performed in an office
79
times performed,
2% of his services

10th 131st

most performed service for this provider most performed service in this state & specialty

50
patients got this service, 14% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.2)
$27,650.00an average of $350.00 per time performed $11,772.58
an average of $149.02 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
71
times performed,
2% of his services

11th 49th

most performed service for this provider most performed service in this state & specialty

54
patients got this service, 16% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$17,750.00an average of $250.00 per time performed $5,633.85
an average of $79.35 per time performed
drug
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ×

Service Code: Q2038
Performed in an office
66
times performed,
2% of his services

12th 56th

most performed service for this provider most performed service in this state & specialty

66
patients got this service, 19% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,980.00an average of $30.00 per time performed $778.80
an average of $11.80 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
65
times performed,
2% of his services

13th 10th

most performed service for this provider most performed service in this state & specialty

65
patients got this service, 19% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,275.00an average of $35.00 per time performed $1,432.60
an average of $22.04 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 10 minutes p... +

Subsequent nursing facility visit, typically 10 minutes per day ×

Service Code: 99307
Performed in an office
59
times performed,
2% of his services

14th 75th

most performed service for this provider most performed service in this state & specialty

27
patients got this service, 8% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.3)
$4,720.00an average of $80.00 per time performed $1,643.15
an average of $27.85 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
57
times performed,
2% of his services

15th 51st

most performed service for this provider most performed service in this state & specialty

31
patients got this service, 9% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2.1)
$5,700.00an average of $100.00 per time performed $1,663.83
an average of $29.19 per time performed
drug
DRUGS

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg

Service Code: J3420
Performed in an office
40
times performed,
1% of his services

16th 39th

most performed service for this provider most performed service in this state & specialty

15
patients got this service, 4% of his patients
2.7
average number of visits a patient made for this service
(Peers: 4)
$240.00an average of $6.00 per time performed $89.60
an average of $2.24 per time performed
medical
PROCEDURES

Physician re-certification for medicare-covered home heal... +

Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial im ×

Service Code: G0179
Performed in an office
38
times performed,
1% of his services

17th 90th

most performed service for this provider most performed service in this state & specialty

25
patients got this service, 7% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.9)
$2,660.00an average of $70.00 per time performed $1,013.08
an average of $26.66 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care typically 70 minutes per day

Service Code: 99220
Performed in a facility
34
times performed,
0.95% of his services

18th 78th

most performed service for this provider most performed service in this state & specialty

30
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$7,480.00an average of $220.00 per time performed $4,733.82
an average of $139.23 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
25
times performed,
0.7% of his services

19th 61st

most performed service for this provider most performed service in this state & specialty

22
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$2,875.00an average of $115.00 per time performed $1,346.00
an average of $53.84 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in an office
24
times performed,
0.67% of his services

20th 65th

most performed service for this provider most performed service in this state & specialty

14
patients got this service, 4% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.4)
$3,600.00an average of $150.00 per time performed $1,014.72
an average of $42.28 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 35 minutes p... +

Subsequent nursing facility visit, typically 35 minutes per day ×

Service Code: 99310
Performed in an office
19
times performed,
0.53% of his services

21st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in WV perform this service

15
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
$2,850.00an average of $150.00 per time performed $1,845.47
an average of $97.13 per time performed
medical
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 35 minutes per day +

Initial nursing facility visit, typically 35 minutes per day ×

Service Code: 99305
Performed in an office
16
times performed,
0.45% of his services

22nd 151st

most performed service for this provider most performed service in this state & specialty

15
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$2,600.00an average of $162.50 per time performed $1,545.76
an average of $96.61 per time performed
medical
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 45 minutes per day +

Initial nursing facility visit, typically 45 minutes per day ×

Service Code: 99306
Performed in an office
14
times performed,
0.39% of his services

23rd 124th

most performed service for this provider most performed service in this state & specialty

12
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$2,540.02an average of $181.43 per time performed $1,728.72
an average of $123.48 per time performed

Office Visits

Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

David Elwood Hess
Average for Family Medicine Providers in West Virginia

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

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