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

    NPI 1578862637 · Newark, DE · Physician Assistant

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    Tyler Yerkes is a physician assistant provider located in Newark, Delaware. This profile covers 9 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 Yerkes
    Address2600 Glasgow Ave Ste 200
    CityNewark
    StateDE
    ZIP19702
    TaxonomyPhysician Assistant
    NPI EnumeratedMarch 15, 2011

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

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$0

    Key Findings

    TYLER YERKES is a Physician Assistant based in NEWARK, DE with an NPI enumerated 2011-03-15 (~15 years ago), indicating an established enrollment history in Medicare billing. The taxonomy and tenure are consistent with a mid-career PA who has maintained billing activity over a multi-year period.

    This provider’s lifetime revenue profile is effectively single-payer: Total Medicare revenue is $1.1M while Medicaid is none (no Medicaid billing on file). The absence of Medicaid activity means payer-mix analysis should treat Medicare as the dominant and near-exclusive source of fee-for-service revenue.

    Revenue is extremely concentrated: precomputed top 3 Medicare codes by revenue account for 98.9% of this provider's total Medicare revenue, and a single HCPCS dominates that concentration — Q4234 shows 1.5K claims, $695 avg paid/claim, $1.1M revenue (97.1% of this provider's total Medicare revenue). This level of single-code reliance means most of the provider’s Medicare income is tied to utilization and reimbursement for that product/code.

    The code mix implies a procedural wound-care and skin-substitute service line as the core operation: Q4234 (Xcellerate per square centimeter add-on) and 15271 (skin substitute up to 100 cm2) together drive nearly all revenue, while codes such as 20611 (ultrasound-guided arthrocentesis), J7321 (intra-articular hyaluronan), and office E/M codes 99213/99203/99202 appear as secondary, low-revenue components. This pattern suggests the practice is organized around application of skin-substitute products with a smaller volume of joint procedures and routine outpatient visits.

    Competitive standing for the top revenue driver is mixed: Q4234 ranks #6 of 23 providers nationally (77th percentile; typical, unremarkable volume for this code), which places the provider in an upper segment of a relatively small national cohort but not as a dominant national outlier. The secondary skin-substitute code 15271 ranks #186 of 1157 (84th percentile; typical, unremarkable volume for this code), indicating comparatively stronger placement for that supporting code among larger peer groups.

    Outside the skin-substitute codes, activity is modest versus national peers: 20611 ranks #3282 of 8465 (61th percentile; typical, unremarkable volume), 99213 ranks #232927 of 457151 (49th percentile; typical, unremarkable volume), and J7321 ranks #1217 of 1492 (18th percentile; typical, unremarkable volume for this code). These percentiles and labels indicate the provider is not a major national player in general E/M or joint-injection services and that those services are secondary revenue contributors.

    Several lower-volume codes are explicitly at or below typical national volumes and occupy low percentiles — for example, 95923 (14 claims, $78 avg paid/claim, $1.1K revenue) ranks at the 10th percentile and 95921 (14 claims, $58 avg paid/claim, $812 revenue) ranks at the 8th percentile, each described as typical, unremarkable volume for these procedures. This reinforces that autonomic testing and similar diagnostic services are minor aspects of the provider’s billing profile rather than growth areas.

    From an operational and payor-risk perspective, the practice exhibits concentrated exposure: because Q4234 accounts for $1.1M of the $1.1M total Medicare revenue and represents 97.1% of Medicare receipts, changes in reimbursement, product availability, or utilization review for that HCPCS would materially affect revenue. Analysts should treat policy, price, or utilization shifts for Q4234 as high-impact drivers when modeling this provider’s future Medicare revenue trajectory.

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    Q4234Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure)1,540$700$1.1M
    15271The provider uses a skin substitute, such as an allograft or xenograft, to cover wounds on the patient’s trunk, arms, and/or legs up to an area of 100 cm2. This code covers up to the first 25 cm2.140$100$14.7K
    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…80$70$5.1K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…70$60$4.2K
    J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose50$60$2.8K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…40$60$2.2K
    95923In this procedure, the provider tests the sudomotor function of the autonomic nervous system to check functioning of nerves that supply sweat glands. The autonomic nervous system is that part of the…10$80$1.1K
    95921The provider evaluates the function of the autonomic nervous system, which controls those body functions, such as heart rate, temperature regulation, and other functions that are involuntary. He uses…10$60$810
    99202The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…10$50$640

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    Q42341101,540$700$1.1M
    15271210140$100$13.8K
    992131,1361,810120$60$13.6K
    2061192080$80$10.5K
    9920337067040$70$5.3K
    9592371020$90$3.2K
    J732111050$60$2.8K
    9592171020$70$2.3K
    992029310020$50$2.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bayhealth Medical Center, Inc.DEGeneral Acute Care Hospital$0$79.3M
    Bayhealth Medical Center, Inc.DEGeneral Acute Care Hospital$0$39.5M
    Bayhealth Emergency Physicians LLCDEEmergency Medicine Physician$0$16.7M
    Christiana Care Health Services IncDEHospitalist Physician$0$13.6M
    Bayhealth Medical Center, IncDEColon & Rectal Surgery Physician$0$12.4M
    Bayhealth Medical Center, Inc.DEClinic/Center$0$3.7M
    Eranga HaththotuwaDECardiovascular Disease Physician$694.5K$0
    Sankalp PathakNJInterventional Cardiology Physician$639.9K$0
    Pranitha NainiVAMedical Oncology Physician$595.3K$0
    Megdad ZaatrehNJNeurology Physician$582.2K$3.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    MosaicDEMental Illness Community Based Residential Treatment Facility$0$118.5M
    Community Systems, Inc.DEIntellectual & Developmental Disabilities Psychologist$0$96.7M
    Resources For Human Development Inc.DEIntellectual & Developmental Disabilities Psychologist$0$86M
    Epic Health Services (de), LLCDEHome Health Agency$0$33.7M
    Jay J Harris Dmd PCDEDentist$0$16.7M
    Elite Home Health Care IncDEIn Home Supportive Care Agency$0$14.8M
    Accredo Health Group IncDEPharmacy$0$10.2M
    Bear-glasgow Dental, LLCDEGeneral Practice Dentistry$0$8.2M
    Center For Child Development, IncorporatedDEPsychologist$0$4.9M
    Comfort Care At Home, Inc.DEHome Health Agency$0$4M

    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. Delaware Distribution
    Tyler Yerkes — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware