Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Carole Worthington (NPI 1184043721)

Field	Value
Entity Type	Individual
Organization	Carole Worthington
Address	5407 Skylane Drive
City	Durham
State	NC
ZIP	27704
Taxonomy	Adult Health Nurse Practitioner
NPI Enumerated	April 10, 2014

Payer Source	Total Paid
Medicare	$181.1K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	2,100	$60	$134.2K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	200	$110	$22.1K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	90	$90	$8.6K
99306	The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…	70	$120	$7.6K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	140	$40	$5.6K
99308	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…	40	$50	$2K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	30	$70	$1.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Carole Worthington — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99309	16	900	260	$70	$31.2K
99308	578	740	130	$50	$13.5K
99306	164	380	50	$130	$12.7K
99310	148	470	50	$100	$10.5K
99490	337	750	120	$40	$10.3K
90792	8	330	30	$120	$6K
90791	173	480	20	$100	$3.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Carole Worthington, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eventus Wholehealth, PLLC	NC	Family Medicine Physician	$0	$26.6M
Opportunities Industrialization Center, Inc	NC	Federally Qualified Health Center (FQHC)	$0	$8.7M
Opportunities Industrialization Center, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$8.1M
Kelly Butler	NC	Psychiatry Physician	$448.9K	$2.9K
Bradley Goad	VA	Internal Medicine Physician	$444.3K	$0
Emily Beck	NC	Primary Care Nurse Practitioner	$332.3K	$0
Molly Salmonsen	NC	Nurse Practitioner	$307.6K	$0
Rhea Cruz	NC	Family Nurse Practitioner	$278K	$0
Leslie Williams	NC	Nurse Practitioner	$275.2K	$0
Rayomand Bengali	NC	Geriatric Medicine (Internal Medicine) Physician	$268K	$0

Nearby Providers

Other providers in the same ZIP code as Carole Worthington, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergeortho PA	NC	Orthopaedic Surgery Physician	$0	$20.9M
Private Diagnostic Clinic, PLLC	NC	Pediatrics Physician	$0	$17.5M
Sunrise Clinical Associates, PLLC	NC	Community/Behavioral Health Agency	$0	$16.5M
County Of Durham Finance Dept	NC	Land Ambulance	$2.4M	$11.3M
Rapha Healthcare Services,llc	NC	Multi-Specialty Clinic/Center	$0	$13.6M
Php Of Nc, Inc	NC	Developmentally Disabled Services Day Training Agency	$0	$12.7M
Bayada Home Health, Care, Inc.	NC	Home Health Agency	$0	$11.6M
Duke University Health System, Inc.	NC	General Acute Care Hospital	$0	$11.6M
Duke University Health System, Inc.	NC	Parenteral & Enteral Nutrition Supplies (DME)	$0	$8.3M
Duke University Health System, Inc.	NC	Internal Medicine Physician	$0	$7.6M

Carole Worthington — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References