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

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

Michael Worsey (NPI 1629091145)

Field	Value
Entity Type	Individual
Organization	Michael Worsey
Address	9834 Genesee Ave
City	La Jolla
State	CA
ZIP	92037
Taxonomy	Colon & Rectal Surgery Physician
NPI Enumerated	July 25, 2006

Payer Source	Total Paid
Medicare	$81.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
46221	In this procedure, the provider ligates, or ties off, the base of a hemorrhoid inside the rectum with a rubber band. The provider performs this procedure to let the hemorrhoid dry out due to a lack…	80	$240	$17.9K
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…	200	$70	$14.9K
45330	The provider examines the rectum and sigmoid colon with a flexible sigmoidoscope, a tubular instrument with a light source and camera, to determine the cause for a patient's symptoms, such as…	60	$150	$8.6K
46600	The provider performs an anoscopy, or an examination of the anus using a small, rigid, tubular instrument called an anoscope. He collects samples for analysis by brushing or washing the anal canal.…	90	$90	$8.1K
99203	The 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…	90	$90	$8K
44700	The provider places a barrier between the small intestine and the pelvis to protect it from damage by radiation.	20	$300	$6.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	40	$100	$4.1K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	10	$370	$4.1K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	30	$120	$3.1K
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…	30	$110	$3K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Michael Worsey — 1 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	8,925	11,530	120	$100	$26.2K
99214	31,796	37,970	120	$90	$23.2K
G0105	610	650	30	$340	$14.8K
46221	16	100	30	$240	$13.9K
99213	8,893	34,660	80	$70	$13.2K
99223	9,019	13,190	50	$140	$11.3K
99204	17,429	19,360	40	$120	$7.2K
44700	1	10	20	$250	$5.2K
46600	25	190	30	$100	$4.7K
99203	2,341	12,740	30	$80	$4.6K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scripps Health	CA	General Acute Care Hospital	$0	$64.2M
Scripps Health	CA	Clinical Medical Laboratory	$8.9M	$301.7K
Scripps Health	CA	Ambulatory Surgical Clinic/Center	$2.2M	$0
NPI 1063405082	—	—	$2.1M	$0
Alan Saven	CA	Hematology & Oncology Physician	$1.7M	$0
Scripps Health	CA	Ambulatory Surgical Clinic/Center	$1.5M	$0
Richard Abello	CA	Diagnostic Radiology Physician	$1.5M	$0
Benjamin Freeze	MA	Neuroradiology Physician	$1.2M	$0
Alvin Wyatt	CA	Diagnostic Radiology Physician	$1.1M	$0
Megan Lynch	CA	Rheumatology Physician	$1M	$0

Michael Worsey — Billing Profile & Reimbursement Data

Sign up for Michael Worsey — Billing Profile & Reimbursement Data policy alerts

Michael Worsey — Billing Profile & Reimbursement Data

Sign up for Michael Worsey — 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