Physician

Alan R Hess, MD

According to 2025 Medicare claims, Alan Hess, MD (NPI: 1528018660) practices internal medicine in the Morgantown, WV market, with the plurality of this provider's patient population coming from Monongalia, WV. This provider's primary affiliated billing organization is MONONGALIA COUNTY GENERAL HOSPITAL COMPANY (NPI: 1447673223; TIN: 237441353) and primary practice location at 26501-1503. Hess is affiliated with the Vandalia Health Network (ACO ID: A4513), participating under the MSSP model.

Hess' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 451 traditional Medicare patients, billed 2,047 HCPCS/CPT codes, and received $111,210 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 16,788 prescription claims across 848 beneficiaries totaling $1,722,586 in drug costs, led by Eliquis (Apixaban). DME data shows 168 claims. No Open Payments records. 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 $94,181 to $111,210. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $15,698 and ending at $18,628.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	599	1,497	$94,181
2016	566	1,546	$88,798
2017	513	1,109	$54,306
2018	522	1,173	$71,156
2019	534	1,194	$76,081
2020	487	1,176	$76,787
2021	519	1,375	$112,699
2022	464	1,969	$113,849
2023	470	1,789	$116,099
2024	451	2,047	$111,210

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	798	16,133	$1,432,729
2016	796	16,797	$1,549,866
2017	695	13,398	$1,232,962
2018	703	13,987	$1,295,971
2019	734	14,242	$1,349,093
2020	763	14,451	$1,369,001
2021	821	14,842	$1,507,593
2022	872	15,741	$1,606,702
2023	837	16,338	$1,827,977
2024	848	16,788	$1,722,586

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	219	617	$17,904
2016	185	684	$15,875
2017	117	419	$7,998
2018	92	389	$7,719
2019	102	390	$5,468
2020	86	298	$5,642
2021	84	260	$6,953
2022	67	302	$9,137
2023	55	275	$11,163
2024	29	168	$14,541

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	342	342	$118
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	189	238	$77
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	207	286	$54
G0008	Administration of influenza virus vaccine	75	75	$30
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	80	83	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	250	16,551	$315,973
Trulicity	Dulaglutide	151	5,210	$174,255
Ozempic	Semaglutide	132	4,442	$141,620
Jardiance	Empagliflozin	90	6,570	$124,932
Mounjaro	Tirzepatide	108	3,360	$122,067

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	30	$9,899
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	47	$3,101
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	29	58	$865
E1392	Portable oxygen concentrator, rental	Y	N/R	21	$663
A4259	Lancets, per box of 100	N	N/R	12	$12

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Alan R. Hess, MD?

Tedicare shows public-source Medicare data for Alan R. Hess, MD (NPI 1528018660), 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 Alan R. Hess, MD have ACO affiliation data?

Alan R. Hess, MD is shown with ACO affiliation data for Vandalia Health Network (MSSP, ACO ID A4513).

What billing organization is linked to Alan R. Hess, MD?

Alan R. Hess, MD is linked to MONONGALIA COUNTY GENERAL HOSPITAL COMPANY (billing NPI 1447673223) in the available physician profile data.

Does Alan R. Hess, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.