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    Kevin Tyler — Billing Profile & Reimbursement Data

    NPI 1366634370 · Grand Forks, ND · Anatomic Pathology & Clinical Pathology Physician

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    Kevin Tyler is a anatomic pathology & clinical pathology physician provider located in Grand Forks, North Dakota. This profile covers 18 Medicare and 4 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKevin Tyler
    Address1200 S. Columbia Rd
    CityGrand Forks
    StateND
    ZIP58201
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedAugust 14, 2007

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

    Payer SourceTotal Paid
    Medicare$62.5K
    Medicaid$25.2K

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…970$30$26.1K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…340$20$7.5K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…90$60$5.6K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…210$30$5.3K
    G0416Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method20$110$2.7K
    88173The lab analyst performs the technical lab test to analyze a cytopathology specimen from a fine needle aspirate and then interprets and reports the results.50$50$2.5K
    88312The lab analyst performs the technical lab steps to stain a specimen with a special stain. This code applies to Group I for microorganisms. A qualified provider, typically a pathologist, interprets…100$20$1.9K
    88112Selective cellular enhancement for cytopathology, such as the method of using a liquid–based slide preparation, uses a liquid–based medium to collect samples and preserve cells which can aid in…90$20$1.8K
    88334Pathology consultation during surgery provides necessary and precise information pertaining to diagnosis and prognosis that aids a surgeon in deciding whether to proceed further during surgery.…50$30$1.5K
    88360The lab analyst applies a single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist, evaluates the…40$30$1.3K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    883052240980$30$52.1K
    883411530330$20$10.1K
    883421630190$30$9.7K
    8830783070$60$5.8K
    G041672020$130$3.8K
    8817362040$50$3.3K
    88344101050$30$2.5K
    8831263060$30$2.4K
    88360123040$30$2.3K
    88112102090$20$2.1K

    Showing 1–10 of 18

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…400$50$20.2K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…80$40$3.2K
    88304The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…70$10$950
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…30$30$850

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other North Dakota providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. North Dakota median

    4 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…14201,200$50$190.6K
    88307The physician, typically a pathologist, performs a level V examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…410670$110$123.1K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…810180$60$45.7K
    88304The physician, typically a pathologist, performs a level III examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…51070$10$9.8K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Altru Health SystemNDClinic/Center$0$29.7M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Dubois Regional Medical CenterPAGeneral Acute Care Hospital$0$18.7M
    Mercy Hospital Of Devils LakeNDCritical Access Hospital$0$11.1M
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Amjad SafviILVascular & Interventional Radiology Physician$568.9K$765.4K
    Linda ArmstrongGADiagnostic Radiology Physician$643.9K$175.1K
    Assen TodorovMDDiagnostic Radiology Physician$607.9K$0
    Allen SamuelsPARheumatology Physician$594.5K$820
    Richard BlackburnMORadiation Oncology Physician$591.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Development Homes IncNDCommunity/Behavioral Health Agency$0$53.9M
    Altru Health SystemNDGeneral Acute Care Hospital$0$18.7M
    L.i.s.t.e.n. IncNDCommunity/Behavioral Health Agency$0$9.4M
    Peterson Medical Clinics, LLCNDMulti-Specialty Clinic/Center$0$8.8M
    Edgewood Sartell LLCNDAssisted Living Facility$0$7.1M
    Northeast Behavioral Health ClinicNDMental Health Clinic/Center (Including Community Mental Health Center)$0$6.7M
    Spectra HealthNDFederally Qualified Health Center (FQHC)$0$5.5M
    Little Miracles, Inc.NDMulti-Specialty Clinic/Center$0$5.5M
    Anil PottiNDHematology & Oncology Physician$4.9M$0
    Valley Oral & Facial Surgery PCNDOral and Maxillofacial Surgery Clinic/Center$0$4.5M

    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. North Dakota Distribution
    Kevin Tyler — 0 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota
    Medicaid Revenue by Year vs. North Dakota Providers
    0 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. North Dakota Distribution
    Kevin Tyler — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota