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

Why is the Medicaid comparison limited to Wisconsin 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. Wisconsin (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 Worth (NPI 1518208677)

Field	Value
Entity Type	Individual
Organization	Douglas Worth
Address	N55w37141 Roland St
City	Oconomowoc
State	WI
ZIP	53066
Taxonomy	Physical Therapist
NPI Enumerated	March 13, 2013

Payer Source	Total Paid
Medicare	$12.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	380	$20	$7.2K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	180	$20	$2.8K
97032	Electrical stimulation therapy uses electricity to stimulate the muscles for the treatment of pain and other disorders associated with muscles. Electrodes are placed on the affected muscle areas and…	180	$10	$1.6K
97162	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	20	$50	$810

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Douglas Worth — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	528	1,550	280	$20	$6.6K
97140	519	1,180	150	$20	$3.6K
97162	594	790	20	$70	$1.9K
97032	5	20	100	$10	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gabriele Langan	WI	Physical Therapist	$32.5K	$0
Kurt Alt	WI	Physical Therapist	$25.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rogers Memorial Hospital Incorporated	WI	Psychiatric Hospital	$0	$54.1M
Prader Willi Homes Of Oconomowoc LLC	WI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.2M
Genesee Community Services, LLC	WI	Community/Behavioral Health Agency	$0	$5.4M
Aurora Health Care Southern Lakes, Inc.	WI	General Acute Care Hospital	$0	$4.5M
John Bitner	WI	Dentist	$0	$3.6M
Bethany Christian Services	WI	Substance Abuse Rehabilitation Facility	$0	$3.3M
Prohealth Oconomowoc Memorial Hospital, Inc.	WI	General Acute Care Hospital	$0	$2.3M
Oconomowoc Area School District	WI	Local Education Agency (LEA)	$0	$1.9M
Kpi,inc	WI	Home Health Agency	$0	$1.3M
Kimberly Ireland	WI	Ophthalmology Physician	$1M	$0

Douglas Worth — Billing Profile & Reimbursement Data

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Douglas Worth — 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