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Diana Hess, MD

Internal Medicine · Castro Valley

NPI 1295296275

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
5
Since medical school
7 years
Univ of Central Florida, College of Medicine, 2019

Offices

5 locations · Sutter Bay Medical Foundation · 3,783 clinicians in this group

Looking this up.

Hospitals listed: 057004. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Hess’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A178427 · Current

Licensed to practise in California · since 2022 · expires 2028-07-31 · University of Central Florida.

Matched on the licence number without its letter prefix; check the name before relying on it.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Original Medicare doctor bills

$11,648

Medicare paid this office $11,648 for 107 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Short return visit (20+ min)64$4,493$58
Return visit (30+ min)33$2,466$67
New patient visit (45+ min)14$1,227$88

Who their Medicare patients are

107 Original Medicare patients in 2024. Average age 72 · Women 73% · Also on Medicaid 15% · Health risk score 1.11. At or below the middle of the specialty; the typical internal medicine clinician is at 1.76.

Conditions among them: High blood pressure 49% · Depression 28% · Cancer 22% · Coronary heart disease 21% · Diabetes 16% · COPD 14% · Heart failure 11% · Chronic kidney disease 11% · Atrial fibrillation 11%.

The office billed $81,732, Medicare allowed $18,436 and paid $11,648; for 229 services of 21 kinds; $2,403 of it was for drugs given in the office and $9,245 for care.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024107229721.11$81,732$11,648
2023190550731.12$239,057$38,899
202287179711.12$86,626$12,873

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 9 services

Original Medicare services billed in 2023
Short return visit (20+ min)95$9,141$59
Return visit (30+ min)71$8,730$77
New patient visit (45+ min)43$6,042$141
New patient visit (60+ min)17$3,204$188
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit29$2,622$90
New patient visit (30+ min)15$1,452$97
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit11$1,424$129
Influenza vaccine split virus, preservative free12$863$72
Administration of influenza virus vaccine13$434$33

2022: 5 services

Original Medicare services billed in 2022
Return visit (30+ min)40$3,466$72
Long return visit (40+ min)22$2,221$89
New patient visit (60+ min)12$2,108$176
Short return visit (20+ min)20$1,408$61
New patient visit (45+ min)11$1,244$113

Drugs they prescribed that Part D paid

$46,070

Pharmacies billed $46,070 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 2% of their Part D prescriptions (13 of 683) in 2024. Above the middle of the specialty; the typical internal medicine clinician is at 1%.

613 generic and fewer than 11 brand-name prescriptions · $46,070 in drug cost · 13 antibiotic prescriptions to 11 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Mounjaro13$13,672$1,052
Eliquis13$9,849$758
Albuterol Sulfate Hfa23$455$20
Levothyroxine29$419$14
Atorvastatin48$408$8
See all 18 drugs
Every Part D drug this clinician prescribed
Mounjaro13$13,672$1,052
Eliquis13$9,849$758
Albuterol Sulfate Hfa23$455$20
Levothyroxine29$419$14
Atorvastatin48$408$8
Losartan37$381$10
Rosuvastatin37$326$9
Montelukast12$255$21
Metformin26$186$7
Amlodipine Besylate29$176$6
Alendronate14$170$12
Tramadol13$160$12
Gabapentin12$141$12
Fluticasone Propionate16$99$6
Cyclobenzaprine13$94$7
Lisinopril19$93$5
Metformin Hcl Er18$54$3
Omeprazole12$52$4

Year by year

Part D prescribing by year
20246831302% (13)None$46,070
20231,0361643% (26)13%$89,915
202219074NoneNone$15,665

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 26 drugs

Part D drugs prescribed in 2023
Levothyroxine40$885$22
Rosuvastatin26$881$34
Atorvastatin53$880$17
Diclofenac24$720$30
Levalbuterol Tartrate Hfa13$702$54
Amlodipine Besylate57$585$10
Losartan25$467$19
Metformin26$383$15
Metoprolol12$298$25
Omeprazole20$233$12
Furosemide20$206$10
Fluticasone Propionate11$174$16
Alendronate15$163$11
Lisinopril19$147$8
Gabapentin27$147$5
Montelukast11$134$12
Sertraline15$124$8
Trazodone16$113$7
Tramadol19$109$6
Famotidine13$102$8
Aripiprazole11$92$8
Propranolol15$81$5
Meloxicam13$74$6
Zolpidem19$73$4
Alprazolam28$43$2
Cyclobenzaprine13$23$2

Money from drug and device companies

$20 in 2023

A payment is not proof that care is biased.

Payments by company
Novartis PharmaceuticalsEntresto$20
1 payment
  • Meals for Entresto · 2023-08-09 · $20
See the published payment
Every published payment
Novartis PharmaceuticalsMeals · 2023-08-09Entresto$20

Professional record

NPI
1295296275
Licence
CA 178427California A178427: Current · expires 2028-07-31
Trained
Univ of Central Florida, College of Medicine, 2019 · 7 years ago
Video visits
Lists video visits
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Internal medicine (207R00000X)
Mailing address
Po Box 276950, Sacramento, CA, 95827
NPI first listed
2019-03-30
NPI last updated
2024-10-30
NPI record certified
2024-10-30

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 101 the City Dr S Ste 400, Orange, CA, 92868 · 1451 Irvine Blvd, Tustin, CA, 92780