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    OpenPayerNPI Medicare & MedicaidMichael Worley
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    Michael Worley — Billing Profile & Reimbursement Data

    NPI 1902073547 · New Orleans, LA · Ophthalmology Physician

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    Michael Worley is a ophthalmology physician provider located in New Orleans, Louisiana. This profile covers 10 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMichael Worley
    Address3715 Prytania St Ste 504
    CityNew Orleans
    StateLA
    ZIP70115
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 13, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$60.7K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.160$100$16K
    15730The provider creates a zygomaticofacial flap of skin from the midface of the patient to treat injury or open wounds on the face or scalp, He rotates the flap, complete with vascular supply, to cover…20$680$14.2K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…190$60$11.7K
    68810The provider probes the nasolacrimal duct to identify a possible obstruction or stricture; he may or may not irrigate the duct.40$120$4.7K
    67950Canthoplasty (median or lateral) is often referred to as a corner eye lift or eye tendon surgery. The ophthalmologist uses this technique to strengthen the lateral canthal tendon or orbicularis…20$190$3K
    31231In this procedure, the provider inserts an endoscope into the nasal cavity to examine the structures of the nasal cavity on one or both sides.30$110$2.7K
    68840This procedure is the probing of the lacrimal canaliculi with or without irrigation.40$60$2.4K
    67911During this procedure, the provider corrects the retraction of the eyelid, in which the eyelid is moving away from the surface of the eye.10$220$2.4K
    92285Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.150$20$2.3K
    92081The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for a limited…60$20$1.3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    1573021020$800$14.5K
    92012106350100$60$11.7K
    6881031030$130$7.8K
    31231569030$120$7.5K
    920042538050$90$5.5K
    6795021020$280$4.5K
    6791131020$280$3.9K
    6884021030$80$3K
    92285136040$10$1.5K
    9208151050$20$1.4K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Louisiana State University School Of Medicine In New Orleans Faculty GLAMulti-Specialty Clinic/Center$0$67.9M
    Lsuhn Billing LLCLAMulti-Specialty Clinic/Center$0$45.7M
    Louisiana State University School Of Med In New Orleans Faculty GrouLAPediatrics Physician$0$43M
    Administrators Of The Tulane Educational FundLASpecialist$0$24.6M
    Acme Medical Supplies, Inc.MDOxygen Equipment & Supplies (DME)$0$5.3M
    Amar PatelTXOphthalmology Physician$3.8M$0
    Brian SavoieRIRetina Specialist (Ophthalmology) Physician$1.4M$55.1K
    James DavidLAOphthalmology Physician$668.1K$44.6K
    Baron WilliamsonLAOphthalmology Physician$392K$254.8K
    Stanislav ZhukLARetina Specialist (Ophthalmology) Physician$602.5K$350

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Association For Retarded CitizensLAChild Intellectual and/or Developmental Disabilities Respite Care$0$24.3M
    Touro InfirmaryLAGeneral Acute Care Hospital$0$20.6M
    Belle Chasse Emergency Group LLCLAEmergency Medicine Physician$0$19.9M
    Foucher Emergency Group LLCLAEmergency Medicine Physician$0$15M
    Crescent City Physicians, Inc.LAFamily Medicine Physician$0$12.9M
    Preferred Caregivers & SittersLAHome Health Agency$0$10.1M
    Association For Retarded CitizensLADevelopmentally Disabled Services Day Training Agency$0$8.3M
    Preferred Caregivers And Sitters, LLCLAHome Health Agency$0$6.4M
    Strive IncLAHome Health Agency$0$4.6M
    New Orleans La Uptown West Bank Endoscopy Asc LLCLAAmbulatory Surgical Clinic/Center$243.7K$511.1K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Louisiana Distribution
    Michael Worley — 0 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana