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    OpenPayerNPI Medicare & MedicaidTyler Hobbs
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    Tyler Hobbs — Billing Profile & Reimbursement Data

    NPI 1528542644 · Provo, UT · Family Nurse Practitioner

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    Tyler Hobbs is a family nurse practitioner provider located in Provo, Utah. This profile covers 17 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationTyler Hobbs
    Address3507 N University Ave Ste 100
    CityProvo
    StateUT
    ZIP84604
    TaxonomyFamily Nurse Practitioner
    NPI EnumeratedSeptember 25, 2018

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

    Payer SourceTotal Paid
    Medicare$1.9M
    Medicaid$0

    Key Findings

    This provider is effectively single-payer in claims activity: Total Medicare revenue is $1.9M and there is no Medicaid billing on file, so Medicare dominates the observed billing profile and any payer-analysis should treat this entity as Medicare-focused. The absence of Medicaid activity limits in-state Medicaid competitive insights and suggests limited participation or billing to Medicaid programs.

    Revenue is highly concentrated in a narrow set of biologic drug administration codes: the precomputed top 3 Medicare codes account for 88.0% of this provider's total Medicare revenue, driven by J0717 (58.0%), J3262 (17.8%), and J0129 (12.2%). This concentration indicates the practice’s financial performance is heavily dependent on a small number of high-revenue injectable biologics.

    The top codes point to a specialty infusion/injection service model focused on high-cost biologic therapies for autoimmune or inflammatory conditions: J0717 (certolizumab pegol), J3262 (tocilizumab), and J0129 (abatacept) are primary revenue drivers, and the presence of infusion/injection administration codes such as 96372 (1.6K claims) and 96365 (218 claims) supports an operational emphasis on in-office medication administration. Together these codes suggest the provider operates a clinic workflow built around drug administration rather than broad primary care procedure mix.

    TYLER HOBBS is a national outlier for certolizumab administration: J0717 ranks #7 of 848 providers nationally (99th percentile; extreme outlier), indicating very high national volume for that specific drug compared with peers. This rank positions the provider as a major national contributor for J0717 and a likely reference source for payers looking at utilization of that drug.

    The provider also shows unusually high office visit and injection throughput relative to national peers: 99214 ranks #9093 of 479517 providers nationally (98th percentile; extreme outlier) and 96372 ranks #123 of 58224 providers nationally (100th percentile; extreme outlier). These elevated rankings imply both high-complexity E/M activity and frequent supervised injection procedures, reinforcing a clinic model with sustained patient flow for treatment administration.

    Other top biologic codes show more typical volumes: J3262 (tocilizumab) at 67.8K claims and $339.2K revenue ranks #141 of 618 (77th percentile; typical, unremarkable) and J0129 (abatacept) at 6.9K claims and $233.8K revenue ranks #733 of 1221 (40th percentile; typical, unremarkable). This mixed competitive standing—one extreme outlier and other codes at ordinary levels—suggests dominance in a specific drug product rather than across the broader biologic drug category.

    The heavy reliance on a few high-revenue biologic codes creates business risk and negotiating leverage implications: with 88.0% of Medicare revenue tied to the top three codes, any changes in coverage, pricing, or clinical protocols for those agents (particularly J0717) could disproportionately affect total revenue. Conversely, the provider’s national standing on J0717 may give it leverage in payer discussions about access and reimbursement for that specific therapy.

    NPI tenure is moderate and aligns with the observed revenue build: the provider’s NPI was enumerated 2018-09-25 (~8 years ago), and within that period the Medicare billing profile has reached $1.9M in lifetime Medicare revenue. Tenure combined with strong national ranks for select codes suggests the practice scaled its biologic administration services relatively quickly after enumeration.

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0717Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)277,200$1$1.1M
    J3262Injection, tocilizumab, 1 mg67,840$10$339.2K
    J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)6,880$30$233.8K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1,100$70$79.9K
    J0897Injection, denosumab, 1 mg4,380$20$78.9K
    J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg1,500$10$19.6K
    J7328Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg15,120$1$15.1K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…1,560$10$14K
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.220$40$8.7K
    20611In this procedure, the provider inserts a needle through the skin of a patient and into a major joint or bursa, typically the shoulder, hip, knee, or subacromial bursa, and then uses the syringe…140$60$8.5K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J071711057,900$1$388K
    J326241070,740$1$328K
    J01296107,880$30$287.1K
    J089714701,920$20$67.2K
    J33045102,500$10$34.9K
    99214304,08080$80$11.6K
    J732811015,120$1$8.6K
    20611129050$60$6K
    96365158090$40$5.2K
    2061038243050$40$3.4K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nisarg GandhiILRheumatology Physician$579.2K$0
    Wenshu YuUTRheumatology Physician$396.3K$0
    James SteierUTRheumatology Physician$116.8K$0
    Jeffrey MathewsUTRheumatology Physician$61.9K$0
    Nancy TrotterUTNurse Practitioner$31.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ihc Health Services, Inc.UTGeneral Acute Care Hospital$0$44.3M
    Revere Health PCUTMulti-Specialty Clinic/Center$0$24M
    Utah Valley Pediatrics L.L.C.UTPediatrics Physician$0$11.9M
    Riverwoods Surgery Center, LLCUTAmbulatory Surgical Clinic/Center$737.9K$5M
    Utah Valley Emergency Physicians IncUTEmergency Medicine Physician$0$4.7M
    Ryan IsomUTRetina Specialist (Ophthalmology) Physician$3.7M$0
    Jack StringhamUTRetina Specialist (Ophthalmology) Physician$3.4M$0
    Ihc Health Services IncUTDurable Medical Equipment & Medical Supplies$0$3.3M
    Richard CoreyUTRetina Specialist (Ophthalmology) Physician$3M$50.1K
    Provo City Board Of EducationUTLocal Education Agency (LEA)$0$3M

    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. Utah Distribution
    Tyler Hobbs — 3 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Utah