Dr. John Worthington, MD
15 Parkman St, Wac 815, Boston, MA 02114 • +1-711-555-9444
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Boston Percentiles
NPI #1164490512 • CBSA 14460 • Psychiatry
Dr. John Worthington, MD (NPI #1164490512) practices Psychiatry in Boston, MA (02114) with sub-specialty concentration in 4 Active CMS HCPCS Codes, recording 775 annual CMS services across 42 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (20th Boston percentile) (-0.59σ vs MA state mean, 25.9th statewide percentile).
Fee-schedule auditing of NPI 1164490512 highlights 341 annual claims for 99214 (20th Boston percentile; $155–$213 self-pay corridor) plus 217 encounters under 90833 and 124 under 99213.
Direct cash-pay transparency modeling sets Dr. Worthington's baseline new-consult rate near $227.00 in Boston, MA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 9-minute average reception wait).
Spanning 8 years of clinical practice following 2018 graduation from medical training, Dr. John Worthington integrates 4 Active CMS HCPCS Codes diagnostics for Boston metro patients.
Compared against Boston, MA Psychiatry peers
775 annual services across 42 beneficiaries
Standard deviations from MA Psychiatry mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Psychopharmacology Medication & Symptom Titration Visit | 341 | 20th | $155 – $213 |
| 90833 | Add-On Focused Psychotherapy w/ Medical Evaluation (30 min) | 217 | 16th | $112 – $153 |
| 99213 | Established Behavioral Health Maintenance Follow-Up | 124 | 21th | $119 – $163 |
| 90792 | Comprehensive Psychiatric Diagnostic & Medical Evaluation | 93 | 18th | $244 – $334 |
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Dr. John Worthington, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Worthington National Provider Identifier | NPI #1164490512 (MD) | CMS NPPES Registry (02114) |
| Dr. Worthington Boston CMS Volume Rank | 20.00th Pct (775 CMS svcs; Z -0.590σ) | CMS Medicare Part B (MA Psychiatry) |
| Fair Cash-Pay New-Patient Benchmark | $227.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Boston, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $227.00 avg paid • 9 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.85/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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