Worley, Michael

Worley, Michael was paid $30K by Medicaid between Jan 2018 and Sep 2018, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.

33Billing provider infoWORLEY, MICHAEL
TUCSON, AZ 85705

33aNPI1548704125assigned 12/15/2016

33bProvider typeFamily Nurse Practitioner

28Total paid$30K

24GClaims537

24DCodes billed5

24AFirst – last monthJan 2018 – Sep 2018

Compared with peers

Next to other Family Nurse Practitioner providers in Arizona

Rank by total paid#58 of 191

Median peer was paid$9K

This provider vs. median3.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	537	$30K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	30%	99	97	$9K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	25%	62	56	$7K
99201		18%	92	87	$5K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	18%	268	236	$5K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	8.5%	16	14	$3K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.