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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSimone Dustin-hess
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    Simone Dustin-hess — Billing Profile & Reimbursement Data

    NPI 1063688182 · Harrisonburg, VA · Anatomic Pathology & Clinical Pathology Physician

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    Simone Dustin-hess is a anatomic pathology & clinical pathology physician provider located in Harrisonburg, Virginia. This profile covers 16 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSimone Dustin-hess
    Address2010 Health Campus Dr
    CityHarrisonburg
    StateVA
    ZIP22801
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedMay 8, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$61.2K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…1,280$30$34.6K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…100$60$6.1K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…140$30$3.6K
    88331Pathological, or intraoperative, consultation provides necessary and precise information pertaining to diagnosis and prognosis which aid a surgeon in deciding whether to proceed further or not during…80$40$3.4K
    88360The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the…90$30$2.9K
    88112Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…110$20$2.1K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…90$20$1.9K
    88361The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. The lab analyst processes the slides using computer assisted…30$30$1.1K
    88312The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…50$20$1.1K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.20$60$1K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    8830577250760$40$55.8K
    88341172200290$30$17.1K
    88342116210160$50$13K
    883127212060$50$9.7K
    88307102170120$70$9.6K
    8811252110100$30$5.3K
    883138114060$20$5.2K
    883312112040$60$4.8K
    881738110040$60$4.5K
    883605912090$40$3.8K

    Showing 1–10 of 16

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Simone Dustin-hess, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Diana PadgettVAAnatomic Pathology & Clinical Pathology Physician$67.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Simone Dustin-hess, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sentara Rmh Medical CenterVAGeneral Acute Care Hospital$0$52.9M
    Continuing Care Home Health Services IncVAHome Health Agency$0$15.3M
    Rmh Medical Group LLCVAGeneral Practice Physician$0$9.8M
    Metro Treatment Of Virginia LPVAMethadone Clinic$122.8K$7.8M
    Harrisonburg Community Health CenterVAFederally Qualified Health Center (FQHC)$0$7.7M
    Priority Patient Transport IncVAAmbulance$789.8K$5.2M
    Integrity Home Care LLCVAIn Home Supportive Care Agency$0$5.7M
    Christopher EllerVAOphthalmology Physician$1.7M$0
    Harrisonburg Rescue Squad IncorporatedVAAmbulance$542.5K$1M
    Rockingham Eye Surgery Center, LLCVAAmbulatory Surgical Clinic/Center$1.5M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    Simone Dustin-hess — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia