PROVIDER PROFILE · NPI 1154471118

Carl HessMD

Interventional Pain ManagementFullerton, CAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

172

Unique beneficiaries

—

Total services

1,532

Distinct HCPCS

Medicare payment

$53K

Peer benchmark

Total Medicare services vs. 118 Interventional Pain Management providers in CA — top quintile (cohort median 1,783).

PRESCRIBING · PART D · 2024

Total Rx claims

1,837

Beneficiaries

—

Total drug cost

$176K

Distinct drugs

Brand share

41.6%

Top prescribed drugs

Hydrocodone/Acetaminophen355 claims

Gabapentin156 claims

Oxycodone Hcl/Acetaminophen135 claims

Morphine Sulfate132 claims

Oxycodone Hcl131 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$441

Payment records

By payment type

Food and Beverage$441

REFERRAL NETWORK

Where Carl Hess's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 4 inbound referrers · 9 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Unilab Corporation Clinical Laboratory · West Hills, CA	31	70
ST JUDE HOSPITAL INC	28	66
Victor Lee Pathology · Oceanside, CA	23	56
JACOBSON, FREDERICK	13	19

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
LCMS SOLUTIONS, INC.	87	435
Fullerton Surgical Center, Lp Ambulatory Surgical Center · Fullerton, CA	57	137
Unilab Corporation Clinical Laboratory · West Hills, CA	37	104
James Pearce Anesthesiology · Fullerton, CA	27	57
JACOBSON, FREDERICK	26	48
ST JUDE HOSPITAL INC	25	68
Victor Lee Pathology · Oceanside, CA	19	47
UNIVERSITY OF CALIFORNIA IRVINE	14	19
Laboratory Corporation Of America Clinical Laboratory · San Diego, CA	11	19

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history