Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wyoming for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wyoming only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wyoming (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Tyler Quest (NPI 1821437971)

Field	Value
Entity Type	Individual
Organization	Tyler Quest
Address	1119 E 3rd St
City	Casper
State	WY
ZIP	82601
Taxonomy	Dermatology Physician
NPI Enumerated	June 21, 2013

Payer Source	Total Paid
Medicare	$548.4K
Medicaid	$0

Key Findings

TYLER QUEST is effectively a Medicare-only biller: lifetime Medicare revenue is $548.4K while there is no Medicaid billing on file, so this profile should be treated as a single-payer (Medicare) practice when assessing payer mix and contracting opportunities. The absence of Medicaid claims means in-state Medicaid volume and competitive positioning cannot be evaluated for this provider.

Revenue is concentrated in a small set of procedural and office-visit codes: the precomputed top-3 Medicare codes account for 40.4% of total Medicare revenue, indicating that a few high-yield services drive a large share of the practice’s income. Specifically, 99213 ($79.7K, 15.4%) and J7308 ($76.4K, 14.8%) plus 96574 ($52.1K, 10.1%) together form that concentrated revenue base.

The service mix is strongly procedural and dermatologic-surgery oriented: high revenues and volumes for J7308 (249 claims, $307 avg paid/claim, $76.4K) and 96574 (248 claims, $210 avg paid/claim, $52.1K) indicate frequent use of topical aminolevulinic acid and photodynamic therapy, while abundant lesion-destruction and excision codes (for example 17000 and 17003) show routine treatment of premalignant and benign lesions. Combined with high counts of biopsies (11102: 458 claims, $29.8K) and intermediate repairs (12032: 157 claims, $34.1K), the mix suggests a practice focused on both diagnostic and surgical dermatology, including skin cancer management and procedural aesthetics/dermatologic surgery.

Several individual codes place this provider as an extreme national outlier, signaling unusual national-level concentration in those services: 99213 ranks #2665 of 457151 (99th percentile; extreme outlier), J7308 ranks #20 of 1726 (99th percentile; extreme outlier), and 96574 ranks #16 of 1099 (99th percentile; extreme outlier). These rankings indicate the provider performs far more of these particular services than typical dermatology peers nationally, which may reflect a specialized clinical focus or local market demand for photodynamic therapy and high-volume follow-up office visits.

Beyond the extreme outliers, the provider shows consistently above-typical procedural volume in several surgical codes: 17003 (4.2K claims, $21.1K) ranks #511 of 19643 (97th percentile; notably above typical national volume), and 12032 (157 claims, $34.1K) ranks #232 of 6420 (96th percentile; notably above typical national volume). These elevated percentiles across excision and repair codes support the characterization of a high-volume procedural dermatology practice, not just occasional procedural work.

There is a mixture of typical and unremarkable volumes for standard evaluation-and-management and some procedural codes: 99214 (396 claims, $34.8K) ranks at the 85th percentile (typical, unremarkable) and multiple excision and repair CPTs (for example 11102, 17110, 17004) sit in the 80th–93rd percentile range (typical to notably above typical), suggesting that while certain services are extreme outliers, other parts of the practice mirror broader national patterns for dermatology providers. This mixed profile matters for benchmarking and expected referral patterns.

From a competitive standpoint, the extreme national rankings on J7308, 96574, and 99213 imply that TYLER QUEST is a major national outlier for those specific services and may be a local destination for photodynamic therapy and frequent E/M follow-ups. Conversely, the lack of Medicaid activity means the provider does not compete in the Medicaid market, limiting assessment of state-level footprint or public-payer access strategies.

The provider has an established tenure on file, with NPI enumeration dated 2013-06-21 (~13 years ago), which supports interpreting the high procedural volumes as sustained practice patterns rather than a short-term anomaly; longevity should be considered when evaluating stability of referral flows and capacity for continued specialized services.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

43 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The 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…	1,400	$60	$79.7K
J7308	Aminolevulinic acid HCl for topical administration, 20%, single unit dosage form (354 mg)	250	$310	$76.4K
96574	This code is used to report removal of hyperkeratotic (hardened, dry, scaly) skin lesions that appear precancerous followed by photodynamic therapy that exposes a lesion treated with a…	250	$210	$52.1K
17000	The provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of the first or only lesion.	1,000	$40	$35.1K
99214	The 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…	400	$90	$34.8K
12032	This CPT® code is used for the intermediate repair of wounds to the scalp, axillae, trunk and/or extremities (excluding hands and feet) that are 2.6 to 7.5 cm in size.	160	$220	$34.1K
11102	The provider biopsies a single skin lesion using a tangential (side–ways) approach; he shaves off the lesion or scoops it out with a knife or curette.	460	$70	$29.8K
17110	The provider destroys benign lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code reports the destruction of one to 14 lesions other than skin tags or…	300	$70	$22K
17004	The provider destroys 15 or more premalignant lesions using techniques such as chemosurgery, cryosurgery, electrosurgery, or others.	180	$120	$21.4K
17003	In this add–on procedure, the provider destroys a premalignant lesion using techniques such as chemosurgery, cryosurgery, electrosurgery, or others. This code is appropriate for the second through…	4,220	$10	$21.1K

Showing 1–10 of 43

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 43 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Tyler Quest — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

43 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
13132	6	10	120	$200	$34.1K
J7308	1	10	70	$300	$26.5K
11604	4	10	120	$150	$20.3K
12032	2	10	70	$170	$15.2K
99214	100	780	100	$80	$14.8K
96574	1	10	40	$190	$13K
99213	5	850	110	$60	$9.9K
11102	2	40	130	$60	$9.6K
12052	3	10	60	$170	$9.4K
17110	2	30	100	$70	$8.7K

Showing 1–10 of 43

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Mitchell Goff	UT	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Brittney Statler	CO	Ophthalmology Physician	$3.7M	$0
Arthur Korotkin	CO	Ophthalmology Physician	$3.7M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K
Brendan Girschek	AZ	Ophthalmology Physician	$3.2M	$0
John Bormes	SD	Ophthalmology Physician	$2.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$14.8M
Bear Country Home Healthcare	WY	Home Health Agency	$0	$7.8M
Wyoming Independent Living Rehabilitation, Inc.	WY	Case Management Agency	$0	$4.7M
Wyoming Medical Center Inc	WY	General Acute Care Hospital	$0	$4.4M
Emergency Medical Physicians PC	WY	Emergency Medicine Physician	$0	$4.1M
Acm Therapy Group LLC	WY	Occupational Therapist	$0	$3.6M
Emg Casper Pp LLC	WY	Assisted Living Facility	$0	$3.5M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Optimal Physical Therapy, LLC	WY	Physical Therapy Clinic/Center	$0	$2.5M
Cedar Ridge Child And Family Counseling	WY	Clinical Psychologist	$0	$2.4M

Tyler Quest — Billing Profile & Reimbursement Data

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Tyler Quest — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References