Physician

Steven Paul Hess, DO

According to 2025 Medicare claims, Steven Hess, DO (NPI: 1063490910) practices family practice in the Spartanburg, SC market, with the plurality of this provider's patient population coming from Spartanburg, SC. This provider's primary affiliated billing organization is WESTGATE FAMILY PHYSICIANS PA (NPI: 1174577258; TIN: 57-0677536) and primary practice location at 29301-1531. Hess is affiliated with the Aledade 101 Regional MSSP (ACO ID: A5216), participating under the MSSP model.

Hess' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 480 traditional Medicare patients, billed 8,840 HCPCS/CPT codes, and received $234,898 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 16,858 prescription claims across 795 beneficiaries totaling $1,040,992 in drug costs, led by Ozempic (Semaglutide). DME data shows 144 claims. Open Payments data shows 60 records totaling $1,246. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has risen steadily, from $124,146 to $234,898. Similarly, Part D prescription costs have risen steadily, from $596,986 to $1,040,992. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $14,954 to $26,589.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$117K$235K2015 Medicare payment: $124,146 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $116,138 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $108,409 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $122,989 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $160,967 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $168,802 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $202,471 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $170,938 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $218,274 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $234,898 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201530325,928$124,146
201632724,046$116,138
201735223,109$108,409
201833014,024$122,989
20194357,320$160,967
20204947,851$168,802
20215628,625$202,471
20224957,473$170,938
20234808,311$218,274
20244808,840$234,898

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$536K$1.1M2015 Drug cost: $596,986 (USD; Tot_Drug_Cst)2016 Drug cost: $648,765 (USD; Tot_Drug_Cst)2017 Drug cost: $690,135 (USD; Tot_Drug_Cst)2018 Drug cost: $689,909 (USD; Tot_Drug_Cst)2019 Drug cost: $827,793 (USD; Tot_Drug_Cst)2020 Drug cost: $960,184 (USD; Tot_Drug_Cst)2021 Drug cost: $966,596 (USD; Tot_Drug_Cst)2022 Drug cost: $878,422 (USD; Tot_Drug_Cst)2023 Drug cost: $1,072,226 (USD; Tot_Drug_Cst)2024 Drug cost: $1,040,992 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201550412,133$596,986
201656112,868$648,765
201758813,372$690,135
201857613,600$689,909
201963314,092$827,793
202070315,573$960,184
202170114,726$966,596
202273714,858$878,422
202368115,479$1,072,226
202479516,858$1,040,992

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$11K$23K2015 Medicare payment: $10,061 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $6,233 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $2,435 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $881 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $2,328 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $2,673 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $1,651 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $5,482 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $18,524 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $22,501 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201572303$10,061
201663231$6,233
201731126$2,435
20182979$881
201927105$2,328
202020161$2,673
20211695$1,651
202217101$5,482
202312161$18,524
202414144$22,501

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more364652$71
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more275521$54
80061Blood test, lipids (cholesterol and triglycerides)283425$13
36415Insertion of needle into vein for collection of blood sample342566$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count242294$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OzempicSemaglutide1114,402$142,094
EliquisApixaban1597,254$141,329
FarxigaDapagliflozin Propanediol864,043$73,123
Trelegy ElliptaFluticasone/Umeclidin/Vilanter692,430$48,995
XareltoRivaroxaban632,639$47,972

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R79$21,440
A4604Tubing with integrated heating element for use with positive airway pressure deviceNN/R15$565
A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 stripsN1432$328
A7038Filter, disposable, used with positive airway pressure deviceNN/R18$168

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.60$1,246AstraZeneca Pharmaceuticals LP
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Steven Paul Hess, DO?

Tedicare shows public-source Medicare data for Steven Paul Hess, DO (NPI 1063490910), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Steven Paul Hess, DO have ACO affiliation data?

Steven Paul Hess, DO is shown with ACO affiliation data for Aledade 101 Regional MSSP (MSSP, ACO ID A5216).

What billing organization is linked to Steven Paul Hess, DO?

Steven Paul Hess, DO is linked to WESTGATE FAMILY PHYSICIANS PA (billing NPI 1174577258) in the available physician profile data.

Does Steven Paul Hess, DO have Open Payments data?

Steven Paul Hess, DO has 60 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.