Medicare Enrolled

John Hess, APRN

Physician Assistant · Arcadia, FL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
725 N 12TH AVE BLDG B, Arcadia, FL 34266
8634941242
Registered in NPPES since 2016
NPI: 1861846115 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Hess from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Hess

John Hess is a physician assistant in Arcadia, FL, with 10 years of NPI registration. Based on federal Medicare data, Hess performed 2,255 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Hess received a total of $1,539 from 25 pharmaceutical and/or device companies across 79 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Hess is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 10 years of NPI registration ▲ Top 8% volume in FL $1,539 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
2,255
Medicare services
Top 8% in FL for physician assistant
Not available
Unique patients (not deduplicated)
$63
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Prolonged nursing facility care, each 15 minutes
This code covers additional time spent by a physician or qualified professional in a nursing facility beyond the standard duration of the primary evaluation and management service.
445 $20 $64
Nursing facility visit, moderate complexity
A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes.
437 $70 $185
Nursing facility visit, high complexity
A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves a high level of medical decision making and takes at least 45 minutes.
351 $102 $250
Psychiatric diagnostic evaluation with medical services
A psychiatric assessment that includes medical services to evaluate mental health conditions.
199 $119 $400
Psychiatric services complicated by communication factor
Psychiatric evaluation or treatment provided when communication barriers complicate the interaction between the provider and the patient.
196 $9 $28
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
136 $106 $290
Home visit, established patient, moderate complexity
A home visit for an established patient involving moderate medical decision making. The visit requires at least 40 minutes of time if time is used to determine the level of service.
98 $85 $262
Online digital E/M service, established patient, 21+ minutes
An online digital evaluation and management service for an established patient. This service requires a total time of 21 or more minutes over a period of up to 7 days.
98 $28 $93
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
71 $69 $215
Prolonged office E/M service, first 15 minutes
This code is used for additional time spent by a physician beyond the maximum required time of a primary office or outpatient evaluation and management service. It is billed in 15-minute increments based on total time spent on the date of the primary service.
52 $21 $68
Home visit, established patient, high complexity
A home visit for an established patient involving high-level medical decision making, lasting at least 60 minutes.
51 $125 $362
Prolonged home visit care, each 15 minutes
This code covers additional time spent by a physician or qualified professional providing care at a patient's home beyond the standard duration of the primary visit. It is billed in 15-minute increments for the extra time dedicated to the patient's evaluation and management.
47 $21 $63
Telephone or electronic consultation, at least 5 minutes
A remote assessment and management service provided by a consulting physician via telephone, internet, or electronic health record. The service requires at least 5 minutes of time and includes a written report.
31 $23 $72
Telephone medical discussion, 11-20 minutes
A phone conversation with a physician lasting between 11 and 20 minutes.
29 $59 $180
Telephone or internet consultation, 21-30 minutes
A remote assessment conducted by a consulting physician via telephone or internet, including verbal discussion and a written report, lasting 21 to 30 minutes.
14 $37 $110
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$1,539
Total received (2021-2024)
Avg $385/year across 4 years
Top 23% in FL for physician assistant
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
25
Companies
79
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$633
2023
$549
2022
$340
2021
$16

Payments by company (2024)

Otsuka America Pharmaceutical, Inc.
$99
Exact Sciences Corporation
$75
Novo Nordisk Inc
$67
ABBVIE INC.
$61
Lundbeck LLC
$55
PFIZER INC.
$36
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$35
AstraZeneca Pharmaceuticals LP
$31
Sumitomo Pharma America, Inc.
$30
Amgen Inc.
$28
Teva Pharmaceuticals USA, Inc.
$23
Lilly USA, LLC
$21
Paratek Pharmaceuticals, Inc.
$19
Bayer Healthcare Pharmaceuticals Inc.
$19
Phathom Pharmaceuticals, Inc.
$18
GlaxoSmithKline, LLC.
$15
Top 3 companies account for 38.2% of 2024 payments
All-time payments by company (2021-2024) ›
Otsuka America Pharmaceutical, Inc.
$270
Teva Pharmaceuticals USA, Inc.
$171
ABBVIE INC.
$134
Amgen Inc.
$106
GlaxoSmithKline, LLC.
$87
Lundbeck LLC
$83
Exact Sciences Corporation
$75
Lilly USA, LLC
$72
Novo Nordisk Inc
$67
PFIZER INC.
$55
Merck Sharp & Dohme LLC
$54
AstraZeneca Pharmaceuticals LP
$46
Paratek Pharmaceuticals, Inc.
$36
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$35
NESTLE HEALTHCARE NUTRITION INC.
$32
Sumitomo Pharma America, Inc.
$30
ABIOMED
$28
Indivior Inc.
$27
Bayer HealthCare Pharmaceuticals Inc.
$25
Regeneron Healthcare Solutions, Inc.
$21
Bayer Healthcare Pharmaceuticals Inc.
$19
Xeris Pharmaceuticals, Inc.
$18
Phathom Pharmaceuticals, Inc.
$18
Avanir Pharmaceuticals, Inc.
$16
Janssen Pharmaceuticals, Inc
$14
Top 3 companies account for 37.3% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AUSTEDO · Austedo XR · BELSOMRA · Cologuard Collection Kit · ELIQUIS · EMGALITY · EVENITY · EVKEEZA · FARXIGA · GEMTESA · GVOKE PFS · Impella · Kerendia · MOUNJARO · NUEDEXTA · NUZYRA · Otezla · Ozempic · PERSERIS · PREVNAR 20 · REXULTI · Rybelsus · TRELEGY ELLIPTA · VERQUVO · VOQUEZNA · VRAYLAR · XARELTO · XIFAXAN · ZENPEP
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Looking for a physician assistant in Arcadia?
Compare physician assistants in the Arcadia area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Physician assistants in nearby ZIP areas
55
County median income
$50,868
Nearest hospital to ZIP centroid (approximate)
DESOTO MEMORIAL HOSPITAL
0.0 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Hess is a clinical cardiology specialist, with above-average Medicare volume (top 8% in FL).

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Hess experienced with prolonged nursing facility care, each 15 minutes?
Based on Medicare claims data, Hess performed 445 prolonged nursing facility care, each 15 minutes services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Hess receive payments from pharmaceutical companies?
Yes. Hess received a total of $1,539 from 25 companies across 79 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Hess's costs compare to other physician assistants in Arcadia?
Hess's average Medicare payment per service is $63. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Hess) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Industry payment disclosure alone establishes neither wrongdoing nor legality. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →