Physician

Mitchell Worley, M.D.

According to 2025 Medicare claims, Mitchell Worley, M.D. (NPI: 1528447281) practices otolaryngology in the Spartanburg, SC market, with the plurality of this provider's patient population coming from Spartanburg, SC. This provider's primary affiliated billing organization is SPARTANBURG EAR NOSE & THROAT, HEAD & NECK SURGERY PA (NPI: 1225082019; TIN: 57-0844100) and primary practice location at 29303-2239.

Worley's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 796 traditional Medicare patients, billed 4,008 HCPCS/CPT codes, and received $289,165 in Medicare payments. The top billing code was 31231 (Diagnostic exam of nasal passages using an endoscope). Part D data shows 1,362 prescription claims across 587 beneficiaries totaling $57,643 in drug costs, led by Ipratropium Bromide (Ipratropium Bromide). DME data shows 417 claims. Open Payments data shows 21 records totaling $1,993. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $29,269 to $289,165. Similarly, Part D prescription costs have risen steadily, from $3,351 to $57,643. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	178	664	$29,269
2021	443	1,499	$95,735
2022	618	2,975	$144,154
2023	722	3,361	$230,932
2024	796	4,008	$289,165

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	31	67	$3,351
2016	73	168	$8,238
2017	50	81	$2,167
2018	30	49	$1,282
2019	78	134	$4,538
2020	117	189	$6,163
2021	201	390	$10,469
2022	381	798	$21,234
2023	519	1,110	$27,227
2024	587	1,362	$57,643

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	37	153	$8,119
2023	86	312	$15,816
2024	147	417	$16,352

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
31231	Diagnostic exam of nasal passages using an endoscope	222	323	$124
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	243	243	$106
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	268	384	$86
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	264	362	$59
69210	Removal of impacted ear wax	168	178	$27

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ipratropium Bromide	Ipratropium Bromide	218	11,352	$6,838
Azelastine Hcl	Azelastine Hcl	234	12,982	$5,323
Epinephrine	Epinephrine	16	171	$3,337
Fluocinolone Acetonide Oil	Fluocinolone Acetonide Oil	54	1,251	$1,919
Fluticasone Propionate	Fluticasone Propionate	149	7,040	$1,689

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A7031	Face mask interface, replacement for full face mask, each	N	13	34	$2,667
A7032	Cushion for use on nasal mask interface, replacement only, each	N	N/R	24	$2,499
A7030	Full face mask used with positive airway pressure device, each	N	13	32	$2,350
E0601	Continuous positive airway pressure (cpap) device	Y	15	75	$2,136
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	21	56	$2,082

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	21	$1,993	AERIN MEDICAL INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Mitchell Worley, M.D.?

Tedicare shows public-source Medicare data for Mitchell Worley, M.D. (NPI 1528447281), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Mitchell Worley, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Mitchell Worley, M.D.?

Mitchell Worley, M.D. is linked to SPARTANBURG EAR NOSE & THROAT, HEAD & NECK SURGERY PA (billing NPI 1225082019) in the available physician profile data.

Does Mitchell Worley, M.D. have Open Payments data?

Mitchell Worley, M.D. has 21 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.