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

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

Monica Whorton (NPI 1538555834)

Field	Value
Entity Type	Individual
Organization	Monica Whorton
Address	1716 Parr Ave Ste A
City	Dyersburg
State	TN
ZIP	38024
Taxonomy	Family Nurse Practitioner
NPI Enumerated	April 13, 2015

Payer Source	Total Paid
Medicare	$49.9K
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
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	600	$40	$21.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	190	$60	$11.3K
11045	The provider uses surgical instruments to remove dead tissue from the subcutaneous layer, as well as the epidermis and dermis if needed. She performs this service at the same session as a separately…	410	$20	$6.5K
99213	The 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…	120	$40	$4.8K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	50	$80	$3.8K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	80	$20	$1.8K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	20	$20	$420

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. Tennessee Distribution

Monica Whorton — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	4,232	11,370	120	$80	$16.6K
11042	9	250	100	$60	$9.1K
99213	4,109	11,030	80	$50	$8K
99204	1,972	5,490	30	$100	$5.3K
97597	49	140	60	$50	$5.1K
11045	8	60	90	$20	$3.5K
99212	1,460	2,140	30	$30	$2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dyersburg Family Walk-in Clinic LLC	TN	Rural Health Clinic/Center	$0	$15.6M
Mohsin Alhaddad	TN	Cardiovascular Disease Physician	$524.3K	$497.8K
Emad Mohamed	TN	Cardiovascular Disease Physician	$130.9K	$0
Amber Hamm	MS	Family Nurse Practitioner	$120.2K	$0
James Cleveland	TN	Emergency Medicine Physician	$81.6K	$34.8K
Jennifer Mcfarland	TN	Clinical Social Worker	$4.3K	$110.7K
Martirea Pratt	TN	Family Nurse Practitioner	$103.9K	$0
George Valentini	KY	Plastic and Reconstructive Surgery Physician	$93.5K	$0
Helen Woodall	TN	Family Nurse Practitioner	$71.5K	$0
Ryan Escue	TN	Family Nurse Practitioner	$67.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
T M Carr Md PC	TN	Emergency Medicine Physician	$0	$19.2M
Dyersburg Health	TN	Community/Retail Pharmacy	$0	$13.2M
C.h. Hughes	TN	Pediatric Dentistry	$0	$10.3M
Wt Medical Associates	TN	Rural Health Clinic/Center	$0	$5.5M
Wt Medical Associates	TN	Internal Medicine Physician	$0	$4.9M
Lifesafe Security Corporation	TN	Personal Emergency Response Attendant	$0	$4M
Bhg Xxxi, LLC	TN	Substance Use Disorder Rehabilitation Clinic/Center	$196.6K	$3.5M
Care Rite PLLC	TN	Family Medicine Physician	$0	$2.8M
Nichols Park Emergency Physicians LLC	TN	Emergency Medicine Physician	$0	$2.3M
Pediatric Associates Of West Tennessee PLLC	TN	Rural Health Clinic/Center	$0	$2.2M

Monica Whorton — Billing Profile & Reimbursement Data

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Monica Whorton — 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