Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidTimothy Hobday
    Ask Trek AI about this page

    Timothy Hobday — Billing Profile & Reimbursement Data

    NPI 1316919962 · Rochester, MN · Medical Oncology Physician

    Customize your policy alerts

    Sign up for Timothy Hobday — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Timothy Hobday is a medical oncology physician provider located in Rochester, Minnesota. This profile covers 42 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationTimothy Hobday
    Address200 1st St Sw
    CityRochester
    StateMN
    ZIP55905
    TaxonomyMedical Oncology Physician
    NPI EnumeratedFebruary 7, 2006

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

    Payer SourceTotal Paid
    Medicare$931.3K
    Medicaid$0

    Key Findings

    This provider is a medical oncology physician in Rochester, MN with a long Medicare tenure—their NPI was enumerated on 2006-02-07 (≈20 years ago), indicating roughly two decades of participation in Medicare billing and likely sustained oncology practice in the market. The longevity supports experience in administering complex cancer therapies and in managing outpatient infusion services.

    Medicare is effectively the sole public payer for this provider: total Medicare revenue is $931.3K while there is no Medicaid billing on file, so the provider operates as a single-payer (Medicare-dominated) public-billing profile rather than a dual-payer practice. This concentration means analyses of public-reimbursement risk and utilization should focus on Medicare patterns.

    Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 85.5% of the provider’s total Medicare revenue. Those three codes (J9271, J9144, J9299) are biologic/oncology drug administrations—pembrolizumab, daratumumab, and nivolumab—indicating that a large majority of Medicare revenue is driven by high-cost immunotherapy and monoclonal antibody treatments rather than office visits or non-drug services.

    The code mix and service-line implications point to a drug-centric oncology infusion practice: the largest single-code revenue is J9271 (pembrolizumab) at $421.2K, followed by J9144 (daratumumab) at $246.3K and J9299 (nivolumab) at $129.6K. The presence of multiple high-volume injectable biologic codes plus chemotherapy administration/add-on codes (96413, 96417, 96415) and infusion technique codes (G0498) suggests the provider’s operation is oriented around outpatient infusions of targeted and immune therapies rather than visit-based outpatient-only management.

    Competitive standing is modest to typical for most high-revenue drugs: J9271 ranks #1079 of 1841 providers nationally (41th percentile) and J9144 ranks #398 of 615 (35th percentile), both characterized in the source as typical, unremarkable volumes for those codes. J9299 ranks low nationally (#476 of 505, 5th percentile) despite contributing materially to revenue, which suggests this provider is not a regional or national leader in nivolumab administration but rather a mid-to-lower volume participant for many of these oncology drug codes.

    Some service-level utilization is routine rather than visit-heavy: professional E/M codes such as 99215 (82 claims, $11.2K revenue) and 99214 (22 claims, $2.2K revenue) contribute only small shares of revenue relative to drug codes, reinforcing the interpretation that drug administration—rather than high-volume office E/M—is the primary revenue driver. Ancillary chemotherapy administration codes (96413: $22.2K) exist but are smaller contributors compared with the biologics.

    The provider’s per-claim payment profile shows relatively low average paid/claim for several commonly used drugs (for example, J9271 avg $39/claim, J9144 avg $38/claim, J9299 avg $24/claim). Combined with the claim volumes (10.8K, 6.5K, 5.4K respectively), this pattern indicates revenue is being driven by large numbers of low-dollar units consistent with per-mg billing for biologic agents rather than fewer, large bundled payments. Monitor coding units and infusion dosing patterns when comparing peer practices.

    Although the practice handles infusion of high-cost agents, its national rank percentiles for these drugs are generally in the mid-to-lower ranges (many codes labeled as "typical, unremarkable volume"). This implies the provider is an established local oncology infusion source with experienced tenure but not a dominant national outlier; strategic considerations should focus on local market share and physician capacity rather than expecting national leadership in these drug administrations.

    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.

    42 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg10,800$40$421.2K
    J9144Injection, daratumumab, 10 mg and hyaluronidase‑fihj6,480$40$246.3K
    J9299Injection, nivolumab, 1 mg5,400$20$129.6K
    J9264Injection, paclitaxel protein-bound particles, 1 mg2,700$10$24.3K
    Q5119Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg1,020$20$22.4K
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…210$110$22.2K
    J2506Injection, pegfilgrastim, excludes biosimilar, 0.5 mg170$70$12.1K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…80$140$11.2K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg70$130$8.6K
    G0498Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community…20$210$5.1K

    Showing 1–10 of 42

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 42 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    42 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J927114707,200$40$323.3K
    J91445503,780$40$163.7K
    J929910205,240$20$159.4K
    J25061320290$80$34.3K
    Q511922301,380$20$29.5K
    J92646102,760$10$27.1K
    J9217588080$130$17.1K
    964134423070$100$11.5K
    992148,57910,10070$80$8.1K
    992156654,06030$120$5.9K

    Showing 1–10 of 42

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mayo ClinicMNMulti-Specialty Clinic/Center$0$74.3M
    Mayo ClinicMNClinical Medical Laboratory$12.2M$15.2M
    Mayo Clinic Health System-southeast Minnesota RegionMNMulti-Specialty Clinic/Center$0$13.7M
    Mayo Clinic Hospital-rochesterMNGeneral Acute Care Hospital$0$11.5M
    Robert JacobsonMNPediatrics Physician$975.6K$0
    Mojun ZhuAZHematology & Oncology Physician$947.4K$0
    Lionel Aurelien Kankeu FonkouaMNMedical Oncology Physician$899.8K$0
    Matthew BlockMNMedical Oncology Physician$820.5K$0
    Ron SmithMNRadiation Oncology Physician$806K$0
    Julian MolinaMNMedical Oncology Physician$773.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mayo Collaborative Services, IncMNClinical Medical Laboratory$6.5M$39.2M
    Mayo ClinicMNMulti-Specialty Clinic/Center$0$10.9M
    Mayo Foundation For Medical Education & ResearchMNDurable Medical Equipment & Medical Supplies$9.3K$2.8M
    Vidhu KaushikMNClinical Pathology/Laboratory Medicine Physician$59.6K$1.9M
    Roberto Leon FerreMNMedical Oncology Physician$1.3M$0
    Peter NoseworthyMNCardiovascular Disease Physician$1.1M$0
    Daniel ChildsMNMedical Oncology Physician$1.1M$0
    Brittany SiontisMNMedical Oncology Physician$960.6K$0
    Sani KizilbashMNMedical Oncology Physician$946.7K$0
    Katharine PriceMNMedical Oncology Physician$832.6K$0

    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. Minnesota Distribution
    Timothy Hobday — 0 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota