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

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

Andrea Hollingsworth (NPI 1780236034)

Field	Value
Entity Type	Individual
Organization	Andrea Hollingsworth
Address	1055 N 500 W
City	Provo
State	UT
ZIP	84604
Taxonomy	Physician Assistant
NPI Enumerated	July 16, 2019

Payer Source	Total Paid
Medicare	$8.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	90	$50	$4.5K
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…	40	$70	$2.4K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	10	$100	$1.5K
94690	The provider collects the patient’s expired air in a laboratory setting and analyzes the data to assess the patient’s respiratory status. He may run the test to evaluate a patient with bronchial…	10	$30	$330
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	20	$10	$180
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	10	$10	$120

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Andrea Hollingsworth — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	2,998	4,080	80	$80	$11.6K
G0439	919	990	60	$120	$10.8K
99213	1,465	3,680	60	$50	$6.4K
80053	427	440	60	$10	$2.5K
36415	655	870	50	$10	$1.6K
94690	4	10	20	$30	$620

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gadzoom Health LLC	UT	Family Medicine Physician	$0	$1.1M
Laura Hayes	UT	Family Nurse Practitioner	$717.3K	$0
Garth Muir	UT	Internal Medicine Physician	$403.2K	$24.3K
David Smith	UT	Internal Medicine Physician	$355.8K	$0
Aaron Anderson	UT	Family Medicine Physician	$341.7K	$0
Daniel Wightman	UT	Internal Medicine Physician	$254K	$0
Laura Slaugh	UT	Family Nurse Practitioner	$202.5K	$0
Tyler Barney	UT	Family Medicine Physician	$200.2K	$0
Tyler Nixon	UT	Internal Medicine Physician	$160.3K	$0
Cory Cosgrave	UT	Sports Medicine (Family Medicine) Physician	$129.8K	$0

Andrea Hollingsworth — Billing Profile & Reimbursement Data

Sign up for Andrea Hollingsworth — Billing Profile & Reimbursement Data policy alerts

Andrea Hollingsworth — Billing Profile & Reimbursement Data

Sign up for Andrea Hollingsworth — 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