Active NPI 1316221492 Individual Practitioner Female Practitioner

Kara L Hilmes , FNP

Nurse Practitioner • San Angelo, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kara Hilmes, FNP is a certified Nurse Practitioner practicing in San Angelo, TX. With approximately 15 years of clinical experience since completing medical education in 2011, Kara Hilmes delivers high-quality medical care to the local community at 102 N MAGDALEN ST.

Kara Hilmes maintains professional affiliations with Dora Roberts Rehabilitation Center, Shannon Clinic, The West Texas Rehabilitation Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, injection, denosumab, 1 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

102 N Magdalen St

San Angelo, TX 769035400

Telephone 3256581511

Fax 3254812165

Associated Practice Facility / Clinic

🏢 Regional Cancer Treatment Center Ltd Facility NPI 1801889431

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in San Angelo, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +3.4 yrs vs City Avg

City Avg: 11.6 Yrs

State Avg: 9.7 Yrs

Regional Practice Density

38 Specialists

Practicing in San Angelo, TX (4894 Statewide)

Telehealth Adoption Rate

18.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hilmes (15 Years) 15 Yrs

San Angelo Specialty Average (11.6 Years) 11.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	5,760	55	$0.55	$0.13
J0897 Injection, denosumab, 1 mg	1,080	12	$33.00	$25.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	473	293	$249.00	$108.68
99213 Established patient office or other outpatient visit, typically 15 minutes	180	139	$176.00	$77.50
22614 Fusion of additional segment of spine	121	52	$406.25	$53.90
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	89	52	$194.75	$35.30
62323 Injection of substance into lower spine canal using imaging guidance	79	57	$704.00	$212.99
72100 X-ray of lower and sacral spine, 2-3 views	70	59	$76.00	$28.15
72040 X-ray of upper spine, 2-3 views	57	44	$83.00	$28.45
63048 Partial removal of spine bone with release of spinal cord and/or nerves	55	36	$622.50	$29.04
22842 Placement of stabilizing device to back, 3-6 spine bone segments	49	47	$1723.75	$105.06
22612 Fusion of spine in lower back	49	47	$1298.75	$212.44
22845 Placement of stabilizing device to front, 2-3 spine bone segments	46	45	$1102.50	$99.12
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	38	37	$808.25	$84.22
62370 Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician	31	13	$364.00	$78.44
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	30	29	$1306.25	$188.92
22600 Fusion of spine in neck by posterior approach	30	29	$994.25	$157.74
J1040 Injection, methylprednisolone acetate, 80 mg	29	27	$41.00	$9.36
22840 Placement of stabilizing device to back of 1 spine bone in neck	28	27	$1186.50	$102.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$268.00	$106.09
20974 Placement of electrical stimulation device for bone healing	27	27	$220.00	$71.72
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	25	16	$295.50	$54.58
36415 Insertion of needle into vein for collection of blood sample	25	23	$8.00	$7.84
63685 Insertion of spinal neurostimulator pulse generator or receiver	24	24	$488.53	$56.33
72070 X-ray of middle spine, 2 views	23	22	$81.00	$22.21
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	23	23	$1263.75	$226.42
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	14	$50.00	$12.31
G0008 Administration of influenza virus vaccine	19	19	$17.00	$16.66
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	18	13	$250.00	$46.97
90662 Influenza vaccine split virus, preservative free	17	17	$63.00	$61.74
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	17	15	$446.00	$44.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	13	13	$141.00	$67.92
63045 Partial removal of upper spine bone with release of spinal cord and/or nerves	12	12	$1356.00	$89.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$324.00	$132.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,140	12	$33.00	$23.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	447	248	$217.14	$103.67
99213 Established patient office or other outpatient visit, typically 15 minutes	196	136	$146.24	$74.28
J1040 Injection, methylprednisolone acetate, 80 mg	127	93	$40.76	$11.58
62323 Injection of substance into lower spine canal using imaging guidance	100	77	$697.74	$208.62
22614 Fusion of additional segment of spine	100	44	$406.25	$50.58
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	93	54	$194.75	$33.39
63048 Partial removal of spine bone with release of spinal cord and/or nerves	65	36	$622.50	$27.23
62370 Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician	46	15	$364.00	$76.39
22612 Fusion of spine in lower back	46	43	$1298.75	$202.75
22842 Placement of stabilizing device to back, 3-6 spine bone segments	44	43	$1723.75	$98.73
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	40	40	$808.25	$85.13
22845 Placement of stabilizing device to front, 2-3 spine bone segments	39	38	$1102.50	$93.98
G0008 Administration of influenza virus vaccine	39	39	$17.00	$16.66
90662 Influenza vaccine split virus, preservative free	34	34	$63.00	$61.74
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	30	30	$1306.25	$199.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$268.00	$107.66
22840 Placement of stabilizing device to back of 1 spine bone in neck	28	28	$1186.50	$98.09
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	27	17	$295.50	$51.22
22600 Fusion of spine in neck by posterior approach	27	27	$994.25	$148.27
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	16	$50.00	$11.66
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	23	23	$1263.75	$217.18
72100 X-ray of lower and sacral spine, 2-3 views	21	20	$76.00	$28.20
36415 Insertion of needle into vein for collection of blood sample	21	21	$8.00	$7.84
64494 Injection of lower or sacral spine facet joint using imaging guidance, second level	19	17	$486.32	$89.90
64493 Injection of lower or sacral spine facet joint using imaging guidance, single level	19	17	$884.28	$170.93
72040 X-ray of upper spine, 2-3 views	18	17	$83.00	$27.88
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance	15	12	$547.20	$147.81
22846 Placement of stabilizing device to front, 4-7 spine bone segments	14	14	$1199.00	$97.77
63045 Partial removal of upper spine bone with release of spinal cord and/or nerves	13	13	$1356.00	$84.17
20974 Placement of electrical stimulation device for bone healing	13	13	$220.00	$67.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	566	299	$207.00	$105.49
99213 Established patient office or other outpatient visit, typically 15 minutes	174	128	$140.00	$74.67
22614 Fusion of additional segment of spine	59	27	$406.25	$49.79
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	50	30	$194.75	$32.45
63048 Partial removal of spine bone with release of spinal cord and/or nerves	50	28	$622.50	$26.22
62370 Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician	50	18	$364.00	$78.06
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	37	37	$808.25	$98.72
G0008 Administration of influenza virus vaccine	32	32	$17.00	$16.67
22842 Placement of stabilizing device to back, 3-6 spine bone segments	30	30	$1723.75	$97.20
90662 Influenza vaccine split virus, preservative free	28	28	$63.00	$61.74
J1040 Injection, methylprednisolone acetate, 80 mg	27	27	$41.00	$11.25
22845 Placement of stabilizing device to front, 2-3 spine bone segments	26	26	$1102.50	$90.54
22612 Fusion of spine in lower back	24	24	$1298.75	$200.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$318.00	$129.20
36415 Insertion of needle into vein for collection of blood sample	23	23	$8.00	$2.96
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	18	18	$1306.25	$189.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$268.00	$110.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	11	$50.00	$11.91
62323 Injection of substance into lower spine canal using imaging guidance	17	17	$704.00	$218.09
22600 Fusion of spine in neck by posterior approach	13	13	$994.25	$167.36
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	12	$1263.75	$218.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	473	270	$207.00	$107.80
99213 Established patient office or other outpatient visit, typically 15 minutes	225	161	$140.00	$75.56
64772 Incision or removal of spinal nerve	120	24	$357.75	$48.33
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	82	50	$194.75	$32.72
22614 Fusion of additional segment of spine	81	36	$406.25	$50.63
62370 Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician	52	19	$364.00	$82.92
22845 Placement of stabilizing device to front, 2-3 spine bone segments	39	39	$1102.50	$91.18
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	37	37	$808.25	$103.12
63048 Partial removal of spine bone with release of spinal cord and/or nerves	35	24	$622.50	$27.33
22842 Placement of stabilizing device to back, 3-6 spine bone segments	35	35	$1723.75	$98.72
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	20	$50.00	$11.56
22612 Fusion of spine in lower back	31	29	$1298.75	$197.87
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	27	27	$1306.25	$191.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$268.00	$108.75
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	22	15	$295.50	$51.17
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	21	21	$1263.75	$221.39
22600 Fusion of spine in neck by posterior approach	21	21	$994.25	$164.88
G0008 Administration of influenza virus vaccine	17	17	$17.00	$16.47
36415 Insertion of needle into vein for collection of blood sample	17	16	$8.00	$3.00
22840 Placement of stabilizing device to back of 1 spine bone in neck	16	16	$1186.50	$98.35
20974 Placement of electrical stimulation device for bone healing	13	13	$220.00	$67.41
90662 Influenza vaccine split virus, preservative free	12	12	$63.00	$63.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,200	11	$33.00	$19.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	504	281	$207.00	$89.63
99213 Established patient office or other outpatient visit, typically 15 minutes	451	240	$140.00	$61.70
64772 Incision or removal of spinal nerve	210	43	$357.75	$48.46
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	101	53	$194.75	$34.69
62369 Electronic analysis reprogramming and refill of spinal canal drug infusion pump	83	24	$346.00	$80.32
22614 Fusion of additional segment of spine	80	39	$406.25	$52.58
80307 Testing for presence of drug, by chemistry analyzers	60	28	$153.00	$58.47
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	59	28	$214.00	$109.61
22845 Placement of stabilizing device to front, 2-3 spine bone segments	49	48	$1102.50	$97.59
63048 Partial removal of spine bone with release of spinal cord and/or nerves	47	32	$622.50	$27.64
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	46	45	$958.34	$98.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	43	$268.00	$114.90
22612 Fusion of spine in lower back	41	41	$1298.75	$205.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	40	25	$50.00	$11.92
22842 Placement of stabilizing device to back, 3-6 spine bone segments	36	35	$1723.75	$102.57
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	34	34	$1306.25	$115.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$318.00	$136.51
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	31	17	$295.50	$53.21
99443 Telephone medical discussion with physician, 21-30 minutes	27	27	$80.00	$79.78
G0008 Administration of influenza virus vaccine	25	25	$17.00	$16.21
20937 Harvest of bone fragment for spine bone graft	23	23	$210.50	$22.35
22867 Insertion of stabilizing or separating device into lower spine at single level with open decompression	22	22	$722.50	$77.54
J1030 Injection, methylprednisolone acetate, 40 mg	20	14	$12.00	$6.05
36415 Insertion of needle into vein for collection of blood sample	20	19	$8.00	$2.88
90662 Influenza vaccine split virus, preservative free	20	20	$68.90	$60.68
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	20	17	$250.00	$48.06
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	20	20	$1263.75	$227.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	15	$77.00	$33.34
22840 Placement of stabilizing device to back of 1 spine bone in neck	18	18	$1186.50	$102.03
22600 Fusion of spine in neck by posterior approach	17	17	$994.25	$101.09
63685 Insertion of spinal neurostimulator pulse generator or receiver	14	14	$434.25	$48.73
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	14	12	$446.00	$44.02
20974 Placement of electrical stimulation device for bone healing	13	13	$220.00	$65.87
99442 Telephone medical discussion with physician, 11-20 minutes	12	12	$50.00	$49.86
82565 Blood creatinine level	12	12	$33.00	$5.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,140	12	$33.00	$18.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	533	328	$207.00	$88.74
99213 Established patient office or other outpatient visit, typically 15 minutes	528	250	$140.00	$60.87
64772 Incision or removal of spinal nerve	257	52	$357.75	$47.91
22614 Fusion of additional segment of spine	139	62	$406.25	$52.77
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	130	67	$194.75	$34.69
62369 Electronic analysis reprogramming and refill of spinal canal drug infusion pump	85	28	$346.00	$94.74
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	70	42	$214.00	$111.20
80307 Testing for presence of drug, by chemistry analyzers	70	42	$153.00	$62.80
J1885 Injection, ketorolac tromethamine, per 15 mg	68	11	$10.00	$0.51
63048 Partial removal of spine bone with release of spinal cord and/or nerves	60	37	$622.50	$28.52
22612 Fusion of spine in lower back	58	58	$1298.75	$193.86
20937 Harvest of bone fragment for spine bone graft	57	57	$210.50	$22.39
22845 Placement of stabilizing device to front, 2-3 spine bone segments	56	54	$1102.50	$97.59
22842 Placement of stabilizing device to back, 3-6 spine bone segments	54	54	$1723.75	$103.13
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	53	53	$1671.25	$93.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	48	$268.00	$111.87
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	46	25	$50.00	$13.70
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	44	21	$295.50	$53.70
63685 Insertion of spinal neurostimulator pulse generator or receiver	42	42	$434.25	$47.76
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	41	41	$1306.25	$104.49
62368 Electronic analysis and reprogramming of spinal canal drug infusion pump	40	13	$170.00	$45.80
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	32	23	$250.00	$47.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$318.00	$135.99
36415 Insertion of needle into vein for collection of blood sample	26	24	$8.00	$2.85
22867 Insertion of stabilizing or separating device into lower spine at single level with open decompression	25	25	$722.50	$80.71
20974 Placement of electrical stimulation device for bone healing	25	23	$220.00	$63.27
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	24	24	$1421.72	$224.05
J1030 Injection, methylprednisolone acetate, 40 mg	22	16	$12.00	$6.32
G0008 Administration of influenza virus vaccine	22	22	$16.68	$15.62
22600 Fusion of spine in neck by posterior approach	20	20	$994.25	$94.84
82565 Blood creatinine level	18	16	$33.00	$5.34
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	17	14	$446.00	$44.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	14	$141.00	$58.29
90662 Influenza vaccine split virus, preservative free	16	16	$85.00	$51.30
22840 Placement of stabilizing device to back of 1 spine bone in neck	14	14	$1186.50	$99.15
63042 Partial removal of spine bone with re-exploration, release of lower spinal cord or nerves and/or removal of disc, 1 interspace	14	14	$2148.04	$198.65
22846 Placement of stabilizing device to front, 4-7 spine bone segments	11	11	$1199.00	$102.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,260	13	$33.00	$17.79
99213 Established patient office or other outpatient visit, typically 15 minutes	720	307	$140.00	$59.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	562	357	$207.00	$87.68
J7999 Compounded drug, not otherwise classified	223	17	$5.34	$5.26
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	116	59	$194.75	$33.02
62369 Electronic analysis reprogramming and refill of spinal canal drug infusion pump	87	35	$346.00	$97.40
22614 Fusion of additional segment of spine	86	41	$396.80	$52.27
62368 Electronic analysis and reprogramming of spinal canal drug infusion pump	86	25	$170.00	$47.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	62	61	$268.00	$112.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$318.00	$135.21
63048 Partial removal of spine bone with release of spinal cord and/or nerves	50	31	$622.50	$28.25
20937 Harvest of bone fragment for spine bone graft	49	49	$210.50	$22.33
22845 Placement of stabilizing device to front, 2-3 spine bone segments	47	45	$1102.50	$97.49
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	44	33	$250.00	$48.38
22842 Placement of stabilizing device to back, 3-6 spine bone segments	37	37	$1723.75	$102.04
22612 Fusion of spine in lower back	37	36	$1298.75	$193.88
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	37	26	$50.00	$16.65
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	36	36	$1671.25	$87.20
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	36	20	$295.50	$51.40
63685 Insertion of spinal neurostimulator pulse generator or receiver	31	31	$434.25	$41.91
J1030 Injection, methylprednisolone acetate, 40 mg	30	19	$12.00	$6.67
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	29	29	$1306.25	$112.66
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	24	24	$1263.75	$221.07
36415 Insertion of needle into vein for collection of blood sample	21	18	$8.00	$2.94
G0008 Administration of influenza virus vaccine	21	21	$10.00	$9.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	17	$77.00	$32.51
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	19	15	$446.00	$43.90
20552 Injections of trigger points in 1 or 2 muscles	15	11	$160.00	$45.42
22600 Fusion of spine in neck by posterior approach	15	15	$994.25	$96.62
20974 Placement of electrical stimulation device for bone healing	15	15	$220.00	$62.70
22840 Placement of stabilizing device to back of 1 spine bone in neck	12	12	$1186.50	$101.65
63042 Partial removal of spine bone with re-exploration, release of lower spinal cord or nerves and/or removal of disc, 1 interspace	11	11	$1782.95	$156.47
90662 Influenza vaccine split virus, preservative free	11	11	$85.00	$52.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,380	16	$19.59	$16.59
99213 Established patient office or other outpatient visit, typically 15 minutes	721	328	$90.41	$58.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	503	320	$326.74	$86.27
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	147	75	$92.30	$34.40
22614 Fusion of additional segment of spine	122	61	$155.80	$51.83
62369 Electronic analysis reprogramming and refill of spinal canal drug infusion pump	103	29	$199.24	$84.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	73	72	$171.26	$110.28
20937 Harvest of bone fragment for spine bone graft	66	65	$77.60	$22.23
63048 Partial removal of spine bone with release of spinal cord and/or nerves	65	39	$219.24	$28.20
22845 Placement of stabilizing device to front, 2-3 spine bone segments	59	55	$383.21	$96.37
22842 Placement of stabilizing device to back, 3-6 spine bone segments	59	59	$450.21	$100.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	37	$43.46	$35.52
J1040 Injection, methylprednisolone acetate, 80 mg	53	51	$13.75	$10.38
J7999 Compounded drug, not otherwise classified	53	21	$42.47	$41.70
22612 Fusion of spine in lower back	52	52	$601.76	$200.09
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	52	37	$103.83	$47.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$209.30	$131.70
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	45	45	$614.01	$87.35
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	45	44	$544.48	$108.67
22552 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc	40	19	$123.81	$53.14
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	32	21	$28.40	$20.42
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	30	23	$179.04	$43.88
20974 Placement of electrical stimulation device for bone healing	28	28	$84.73	$62.24
J1030 Injection, methylprednisolone acetate, 40 mg	26	19	$6.22	$5.50
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	24	24	$633.11	$221.66
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	15	$40.51	$32.36
22600 Fusion of spine in neck by posterior approach	21	21	$414.20	$89.04
36415 Insertion of needle into vein for collection of blood sample	19	16	$3.53	$2.94
63685 Insertion of spinal neurostimulator pulse generator or receiver	18	17	$166.46	$33.48
20552 Injections of trigger points in 1 or 2 muscles	18	14	$59.63	$45.04
62368 Electronic analysis and reprogramming of spinal canal drug infusion pump	18	12	$99.57	$45.80
22840 Placement of stabilizing device to back of 1 spine bone in neck	16	16	$501.10	$101.47
63042 Partial removal of spine bone with re-exploration, release of lower spinal cord or nerves and/or removal of disc, 1 interspace	15	15	$624.37	$125.69
61868 Removal of skull bone with computer-assisted insertion of neurostimulator electrodes in brain with recording, each additional array	14	14	$201.55	$63.94
61867 Removal of skull bone with computer-assisted insertion of neurostimulator electrodes in brain with recording, first array	14	14	$671.95	$289.78
22846 Placement of stabilizing device to front, 4-7 spine bone segments	13	13	$344.46	$101.21
22848 Insertion of instrumentation to pelvic bones	13	13	$86.96	$48.07
63655 Removal of spine bone for insertion of neurostimulator electrode plate in spine	11	11	$297.42	$104.16

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 707159

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Certification

F0911042 (TX)

Hospital & Practice Group Affiliations

Family Nurse Practitioner

Dr. Irvin Zeitler , DO

Family Medicine

NPI 1003856451

Doctor of Osteopathic Medicine (D.O.)

Dr. Charles Greeson , MD

Dermatology

NPI 1003919994

Doctor of Medicine (M.D.)

Dr. Robert Carsner , MD

Internal Medicine

NPI 1013901032

Doctor of Medicine (M.D.)

Dr. Scott Westmoreland , DPM

Podiatrist

NPI 1023095783

Doctor of Podiatric Medicine

Dr. Leslie Hutchins , MD

Neurological Surgery

NPI 1023278660

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 06, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 06, 2011

Registered at 102 N MAGDALEN ST, SAN ANGELO, TX 769035400 (Tel: 3256581511)

📍

Updated Business Mailing Address October 06, 2011

Registered at PO BOX 22000, SAN ANGELO, TX 769027200 (Tel: 3256581511)

👤

Provider Name / Credentials Updated October 06, 2011

Recorded as KARA HILMES, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2011

Nurse Practitioner (License #707159 in TX)

🟢

Initial NPI Registration & Enumeration October 06, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316221492

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 06, 2011

Last Update: October 06, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 22000

San Angelo, TX 769027200

Phone: 3256581511

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.