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

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

Francis Worden (NPI 1700962677)

Field	Value
Entity Type	Individual
Organization	Francis Worden
Address	1500 East Medical Center Dr
City	Ann Arbor
State	MI
ZIP	48109
Taxonomy	Medical Oncology Physician
NPI Enumerated	October 31, 2006

Payer Source	Total Paid
Medicare	$31.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	90	$110	$10.2K
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…	110	$70	$7.8K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	50	$140	$7.1K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	130	$30	$3.3K
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…	20	$140	$3.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Francis Worden — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	6,409	15,470	80	$80	$11.4K
99223	3,332	4,880	40	$130	$8.3K
99215	648	4,420	30	$110	$6K
99205	210	1,680	20	$150	$4.3K
G2212	7	140	30	$20	$1.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Steven Cohen	KS	Ophthalmology Physician	$2.4M	$0
Joshua Vrabec	MI	Ophthalmology Physician	$164.1K	$0
Shinichi Fukuhara	MI	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	$139.8K	$0
Kenneth Tobin	CA	Cardiovascular Disease Physician	$124.8K	$0
Robert Kennedy	MI	Clinical Cardiac Electrophysiology Physician	$124.1K	$0
Troy Labounty	MI	Cardiovascular Disease Physician	$120.2K	$0
Annette Kretzler	MI	Radiation Oncology Physician	$114.8K	$0
Anna Booher	MI	Cardiovascular Disease Physician	$107.8K	$0
Nicklaus Slocum	MI	Cardiovascular Disease Physician	$106K	$0
Caroline Daly	MI	Diagnostic Radiology Physician	$100.4K	$0

Francis Worden — Billing Profile & Reimbursement Data

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Francis Worden — 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

Frequently Asked Questions

References