Physician

Francis Paul Worden, MD

According to 2025 Medicare claims, Francis Worden, MD (NPI: 1700962677) practices medical oncology in the Detroit-Dearborn-Livonia, MI market, with the plurality of this provider's patient population coming from Wayne, MI. This provider's primary affiliated billing organization is REGENTS OF THE UNIVERSITY OF MICHIGAN (NPI: 1609192020; TIN: 386006309) and primary practice location at 48109-5000. Worden is affiliated with the POM ACO (ACO ID: A1297) and THEDACARE ACO (ACO ID: A4988), participating under the MSSP model.

Worden's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 120 traditional Medicare patients, billed 595 HCPCS/CPT codes, and received $29,243 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 898 prescription claims across 197 beneficiaries totaling $2,202,557 in drug costs, led by Vitrakvi (Larotrectinib Sulfate). DME data shows 111 claims. Open Payments data shows 24 records totaling $1,019,213. 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 up and down with repeated peaks and valleys, starting at $33,742 and ending at $29,243. Concurrently, Part D prescription costs have risen steadily, from $1,179,591 to $2,202,557. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $2,870 and ending at $2,128.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	167	359	$33,742
2016	179	385	$42,195
2017	178	726	$95,037
2018	210	877	$114,102
2019	220	972	$129,164
2020	150	280	$23,146
2021	133	249	$24,469
2022	122	261	$26,255
2023	156	459	$35,283
2024	120	595	$29,243

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	160	887	$1,179,591
2016	154	918	$1,023,167
2017	114	642	$913,549
2018	134	594	$818,039
2019	142	690	$1,126,592
2020	166	772	$1,071,272
2021	158	829	$1,251,273
2022	172	749	$1,668,391
2023	181	864	$1,770,220
2024	197	898	$2,202,557

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	87	$7,571
2016	N/R	68	$10,302
2017	N/R	99	$9,213
2018	14	211	$24,805
2019	27	143	$24,860
2020	25	144	$22,364
2021	N/R	120	$23,290
2022	N/R	56	$8,613
2023	N/R	44	$4,466
2024	N/R	111	$15,631

* / # = 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
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$144
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	52	75	$106
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	70	$75
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	52	291	$25
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	62	96	$13

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Vitrakvi	Larotrectinib Sulfate	17	630	$595,844
Lenvima	Lenvatinib Mesylate	21	630	$500,842
Erivedge	Vismodegib	24	678	$315,710
Tafinlar	Dabrafenib Mesylate	13	460	$143,484
Eliquis	Apixaban	24	1,206	$24,324

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
B4153	Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	11	$8,747
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	30	$2,918
B4036	Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	N	N/R	37	$2,834
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	11	$760
E1392	Portable oxygen concentrator, rental	Y	N/R	11	$339

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	6	$4,687	Coherus Biosciences Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	18	$1,014,526	Univ Of Mi Hospitals & Hlth Ctrs
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 Francis Paul Worden, MD?

Tedicare shows public-source Medicare data for Francis Paul Worden, MD (NPI 1700962677), 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 Francis Paul Worden, MD have ACO affiliation data?

Francis Paul Worden, MD is shown with ACO affiliation data for POM ACO (MSSP, ACO ID A1297) and THEDACARE ACO (MSSP, ACO ID A4988).

What billing organization is linked to Francis Paul Worden, MD?

Francis Paul Worden, MD is linked to REGENTS OF THE UNIVERSITY OF MICHIGAN (billing NPI 1609192020) in the available physician profile data.

Does Francis Paul Worden, MD have Open Payments data?

Francis Paul Worden, MD has 24 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.