Physician

David Carl Hess, M.D.

According to 2025 Medicare claims, David Hess, M.D. (NPI: 1871029116) practices internal medicine in the Minneapolis-St. Paul-Bloomington, MN-WI market, with the plurality of this provider's patient population coming from St. Croix, WI. This provider's primary affiliated billing organization is GROUP HEALTH PLAN INC (NPI: 1427420181; TIN: 410797853) and primary practice location at 54016-7848. Hess is affiliated with the Mayo Clinic Community ACO, LLC (ACO ID: A4617), participating under the MSSP model.

Hess' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 282 traditional Medicare patients, billed 1,175 HCPCS/CPT codes, and received $79,795 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 5,699 prescription claims across 522 beneficiaries totaling $813,712 in drug costs, led by Ozempic (Semaglutide). DME data shows 65 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 moved sharply higher in recent years, from $4,266 to $79,795. Similarly, Part D prescription costs have moved sharply higher in recent years, from $4,996 to $813,712. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	46	61	$4,266
2021	196	462	$29,115
2022	253	583	$43,400
2023	287	798	$62,851
2024	282	1,175	$79,795

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	22	$4,996
2018	33	162	$9,662
2019	29	160	$9,618
2020	76	234	$10,889
2021	209	726	$82,214
2022	364	2,096	$302,649
2023	497	4,210	$499,597
2024	522	5,699	$813,712

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	23	$4,078
2023	N/R	54	$7,133
2024	N/R	65	$10,717

* / # = 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	129	129	$122
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	222	$81
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	170	238	$56
G0008	Administration of influenza virus vaccine	37	37	$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	100	154	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	99	4,460	$136,364
Prolastin C	Alpha-1-Proteinase Inhibitor	13	350	$136,003
Eliquis	Apixaban	108	6,549	$125,918
Jardiance	Empagliflozin	59	4,290	$82,126
Trulicity	Dulaglutide	21	896	$28,587

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	21	$9,042
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	12	$881
K0738	Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	12	$403
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	N/R	20	$390

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 David Carl Hess, M.D.?

Tedicare shows public-source Medicare data for David Carl Hess, M.D. (NPI 1871029116), 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 David Carl Hess, M.D. have ACO affiliation data?

David Carl Hess, M.D. is shown with ACO affiliation data for Mayo Clinic Community ACO, LLC (MSSP, ACO ID A4617).

What billing organization is linked to David Carl Hess, M.D.?

David Carl Hess, M.D. is linked to GROUP HEALTH PLAN INC (billing NPI 1427420181) in the available physician profile data.

Does David Carl Hess, M.D. 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.