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    v1.0.28
    OpenPayerNPI Medicare & MedicaidTerry Van Wormer
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    Terry Van Wormer — Billing Profile & Reimbursement Data

    NPI 1467439505 · Layton, UT · Physician Assistant

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    Terry Van Wormer is a physician assistant provider located in Layton, Utah. This profile covers 24 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
    OrganizationTerry Van Wormer
    Address2121 N 1700 W
    CityLayton
    StateUT
    ZIP84041
    TaxonomyPhysician Assistant
    NPI EnumeratedDecember 29, 2005

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

    Payer SourceTotal Paid
    Medicare$74.7K
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…660$50$33.9K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.60$110$6.5K
    72197In this diagnostic procedure, the provider performs magnetic resonance imaging (MRI) of the pelvis first without using contrast and again after injecting contrast material.30$200$6.1K
    51702The bladder catheter CPT® codes provide options for reporting the procedures that best reflect the exact anatomic location of a catheter insertion, the type of catheter inserted, and, in some cases,…160$40$6.1K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…100$60$5.8K
    84153The lab analyst performs testing for total prostate specific antigen, PSA, typically on serum or plasma samples using laboratory analyzers. PSA is a protein the prostate gland produces, and…160$20$2.8K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…10$210$2.5K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.230$10$1.8K
    51700Bladder irrigation and instillation are used to deliver medication directly to the bladder via a catheter.  These medications are usually anti–inflammatory agents used to treat infection or…20$50$1.1K
    84403The lab analyst performs a test to measure total testosterone, typically in patient serum.40$30$1K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213613,68060$50$6.4K
    741764717040$70$3.5K
    72197133030$110$3.4K
    74178496020$120$2.8K
    99203971,36030$70$2.7K
    84403175030$30$2.5K
    5170222040$40$2.2K
    9921242168030$40$1.9K
    84270123030$20$1.7K
    3641512987050$10$1.6K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tanner Memorial ClinicUTInternal Medicine Physician$0$8.1M
    Gregory AustadUTRheumatology Physician$963.9K$0
    Justin MansfieldUTInternal Medicine Physician$716.3K$0
    Andrew ColesUTInterventional Pain Medicine Physician$389.6K$120.9K
    Laurence NelsonUTOphthalmology Physician$367.8K$0
    Michael MartineauUTDermatology Physician$323.3K$0
    Glen BiddulphUTInternal Medicine Physician$214.4K$0
    Tyler WilliamsUTInternal Medicine Physician$179.2K$0
    David StevensUTOrthopaedic Surgery Physician$160.6K$0
    Amandeep ChadhaUTNephrology Physician$158.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Terry Van Wormer, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Davis Behavioral Health IncUTMental Health Clinic/Center (Including Community Mental Health Center)$0$70.8M
    Davis Hospital & Medical Center LPUTGeneral Acute Care Hospital$0$22.5M
    Ihc Health Services, Inc.UTGeneral Acute Care Hospital$0$11.6M
    Layton City CorporationUTLand Ambulance$377.7K$4.7M
    Hillfield Pediatric & Family Dentistry Inc.UTGeneral Practice Dentistry$0$3.1M
    Catalyst Behavior SolutionsUTCommunity/Behavioral Health Agency$0$2.8M
    Silver Lake Healthcare, Inc.UTCommunity Based Hospice Care Agency$0$2.4M
    Scott FolkmanUTPediatric Dentistry$0$2M
    Discovery House Lt, Inc.UTMethadone Clinic$76.3K$1.8M
    Silver Lake Healthcare, Inc.UTHome Health Agency$0$1.6M

    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. Utah Distribution
    Terry Van Wormer — 3 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah