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

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

Edward Hepworth (NPI 1588766562)

Field	Value
Entity Type	Individual
Organization	Edward Hepworth
Address	3150 E 3rd Ave Ste 300
City	Denver
State	CO
ZIP	80206
Taxonomy	Otolaryngic Allergy Physician
NPI Enumerated	September 1, 2006

Payer Source	Total Paid
Medicare	$148.5K
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
61590	The provider accesses the middle cranial fossa using an infratemporal (below the temporal fossa) preauricular (in front of the external ear) approach, sometimes called a transparotid approach, to…	20	$2,330	$49K
31231	In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.	300	$150	$45.6K
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…	440	$70	$30.1K
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	$90	$17.8K
31575	The provider uses a flexible laryngoscope to look inside the larynx, or voice box, to detect the presence of any abnormalities. This code applies to diagnostic services.	30	$100	$3K
69210	The provider uses an instrument such as a curette, vacuum evacuation, or forceps to remove entrapped wax from a patient's external auditory canal.	60	$30	$1.6K
61782	In this add–on procedure, the provider uses a computer navigation system along with computed tomography, or CT, and or magnetic resonance imaging, or MRI, scans to guide him and navigate during…	10	$140	$1.5K

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. Colorado Distribution

Edward Hepworth — 2 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
61590	1	10	20	$2,330	$49K
99214	2,033	8,160	80	$80	$11.3K
31231	2	120	40	$140	$9.6K
99213	275	7,200	70	$60	$6.6K
31575	94	140	40	$90	$5K
61782	8	10	20	$140	$2.2K
69210	68	220	30	$30	$1.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Denver Recovery Group LLC	CO	Methadone Clinic	$287.7K	$22.8M
National Jewish Health	CO	General Acute Care Hospital	$0	$7.7M
Madison Street Surgery Center, LLC	CO	Ambulatory Surgical Clinic/Center	$699.2K	$635.9K
Uchealth Ambulatory Surgery Centers	CO	Ambulatory Surgical Clinic/Center	$346.1K	$46.4K
Denver Mid-town Surgery Center Ltd	CO	Ambulatory Surgical Clinic/Center	$104.4K	$189.9K
Jason Wang	CO	Ophthalmology Physician	$280.7K	$0
Howard Amiel	CO	Ophthalmology Physician	$237.9K	$0
Nina Casanova	CO	Urology Physician	$217.9K	$0
Cher, LLC	CO	Diagnostic Radiology Physician	$178.4K	$25.6K
Gary Belen	CO	Specialist	$186.8K	$0

Edward Hepworth — Billing Profile & Reimbursement Data

Sign up for Edward Hepworth — Billing Profile & Reimbursement Data policy alerts

Edward Hepworth — Billing Profile & Reimbursement Data

Sign up for Edward Hepworth — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References