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 Utah for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Utah 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. Utah (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.

Douglas Worthington (NPI 1467460246)

Field	Value
Entity Type	Individual
Organization	Douglas Worthington
Address	395 W Cougar Blvd Ste 501
City	Provo
State	UT
ZIP	84604
Taxonomy	Audiologist
NPI Enumerated	August 4, 2006

Payer Source	Total Paid
Medicare	$9.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92557	The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the softest level at which the patient can hear. He also measures the patient’s ability to…	130	$20	$3.2K
92540	The provider performs four specific tests, with recording, to check balance disorders. This code represents both the technical and professional components of the service.	20	$80	$1.9K
92546	The provider measures various parameters of normal and pathological vestibular systems and also estimates the patient's visual acuity by checking the visual–vestibular interaction using sinusoidal…	20	$90	$1.5K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	130	$10	$1.4K
92548	The provider performs computerized dynamic posturography sensory organization testing to evaluate the patient's motor, sensory, and integrative processes used to maintain balance and stability. The…	10	$40	$490
92537	A caloric vestibular test refers to a qualitative test that involves sequentially irrigating both ears with warm and cold water while evaluating the patient’s eye movements. This helps measure the…	10	$30	$340
92538	A caloric vestibular test refers to a qualitative test that involves sequentially irrigating both ears with water, either warm or cool but not both (monothermal), while evaluating the patient’s eye…	10	$20	$200
92547	During a vestibular function test with recording, the provider uses additional vertical electrodes placed around the eye to assess nystagmus.	20	$10	$180

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Douglas Worthington — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92540	6	20	20	$80	$2.2K
92546	3	10	20	$90	$1.9K
92557	13	90	40	$20	$1.8K
92548	7	10	20	$40	$960
92537	14	20	20	$30	$790
92567	11	80	40	$10	$730
92538	2	10	10	$20	$230
92547	4	10	20	$10	$210

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Konstantinos Segkos	UT	Endocrinology, Diabetes & Metabolism Physician	$37.1K	$50.3K
Ryan Stephenson	UT	Otolaryngology Physician	$71.7K	$0
David Darley	UT	Otology & Neurotology Physician	$49.5K	$4.5K
Seth Riddle	UT	Otolaryngology Physician	$44.5K	$1.4K
Scott Shipley	UT	Otolaryngology Physician	$34.4K	$4.1K
Kirt Beus	UT	Otolaryngology Physician	$28.6K	$6.9K
Shahzad Ahmad	UT	Endocrinology, Diabetes & Metabolism Physician	$35.1K	$0
Zachary Anderson	UT	Otolaryngology Physician	$27.5K	$5.3K
Jeffrey Nelson	ND	Otolaryngology Physician	$23.5K	$0
Jenny Coy	UT	Nurse Practitioner	$16.5K	$0

Douglas Worthington — Billing Profile & Reimbursement Data

Sign up for Douglas Worthington — Billing Profile & Reimbursement Data policy alerts

Douglas Worthington — Billing Profile & Reimbursement Data

Sign up for Douglas Worthington — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References