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 Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan 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. Michigan (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.

Nathan Piovesan (NPI 1265421143)

Field	Value
Entity Type	Individual
Organization	Nathan Piovesan
Address	1234 Napier Ave
City	Saint Joseph
State	MI
ZIP	49085
Taxonomy	Surgery Physician
NPI Enumerated	October 14, 2005

Payer Source	Total Paid
Medicare	$16.2K
Medicaid	$0

Key Findings

Provider profile and tenure: NATHAN PIOVESAN is listed under the Surgery Physician taxonomy and has an NPI enumerated 2005-10-14 (~21 years ago), indicating long-standing enrollment in the Medicare program and likely established referral relationships and practice patterns that span clinic and hospital settings.

Scale of Medicare activity: This provider’s lifetime Medicare revenue totals $16.2K, a modest absolute revenue footprint relative to typical surgical practices; the top three Medicare codes by revenue are responsible for a concentrated share of that total (precomputed: top 3 Medicare codes by revenue account for 50.2% of this provider's total Medicare revenue).

Revenue concentration and service mix: The largest revenue drivers are evaluation-and-management codes 99214 ($3K, 18.5%), 99204 ($2.6K, 16.1%), and 99222 ($2.5K, 15.5%), which together suggest a mix of outpatient office visits and initial hospital inpatient/observation evaluations as core billable services rather than high-volume procedural revenue.

Procedural activity: The presence of colonoscopy-specific codes such as 45385 ($2K, 12.6%) and 45380 ($1.4K, 8.7%) alongside E/M codes indicates the provider performs endoscopic procedures (polypectomy and diagnostic/biopsy colonoscopy) in addition to office and inpatient evaluation services, consistent with a surgical practice that includes endoscopy.

Payer mix: This provider is effectively single-payer in the claims on file — Medicare revenue is $16.2K while there is no Medicaid billing on file — indicating either no participation in Medicaid or no Medicaid-covered encounters recorded in the dataset.

Competitive standing on Medicare codes: For core E/M codes the provider ranks in low-to-middle national percentiles (99214 ranks #382002 of 479517 providers nationally, 20th percentile; 99204 ranks #119284 of 227068, 46th percentile; 99222 ranks #58700 of 117621, 48th percentile) and is described as "typical, unremarkable volume" for these codes, signaling a modest national presence rather than a dominant market position.

Statistical positioning of procedural codes: Endoscopy-related codes are also not high-volume relative to national peers—45385 ranks #15967 of 16310 providers nationally (0th percentile; typical, unremarkable volume) and 45380 ranks #13501 of 16427 (16th percentile; typical, unremarkable volume)—which implies procedural throughput is limited compared to specialist peers who perform these procedures at scale.

Operational implications for payers and network planners: Given the small Medicare revenue base ($16.2K), concentrated reliance on a few E/M codes (precomputed top-3 share 50.2%), and absence of Medicaid billing, this provider represents a modest-volume surgical/endoscopy practitioner that may serve a local or hospital-based niche rather than being a high-capacity outpatient surgical center; credentialing or network decisions should weigh low overall utilization and limited payer diversification.

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	30	$90	$3K
99204	The provider sees a new 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 provider…	30	$90	$2.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$90	$2.5K
45385	The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…	10	$190	$2K
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…	30	$60	$1.9K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	30	$60	$1.5K
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	20	$70	$1.4K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	$40	$760
99203	The 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…	10	$50	$510

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

Claims Volume vs. Michigan Distribution

Nathan Piovesan — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
45385	1	530	40	$270	$18.3K
99232	3	6,730	90	$60	$12K
99214	12	15,470	80	$80	$11.4K
45380	1	490	30	$170	$9.4K
99213	8	14,810	60	$60	$6.6K
99222	3	4,810	30	$100	$5K
99204	6	6,280	30	$110	$4.2K
99203	8	4,560	30	$70	$3K
99231	2	2,000	40	$40	$2.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lakeland Hospitals At Niles And St Joseph, Inc	MI	General Acute Care Hospital	$0	$78.1M
Bronson Methodist Hospital	MI	Hospitalist Physician	$0	$64.8M
Lakeland Medical Practices	MI	Internal Medicine Physician	$0	$20.9M
Lakeland Community Hospital Watervliet	MI	General Acute Care Hospital	$0	$9.8M
Bronson Battle Creek Hospital	MI	Internal Medicine Physician	$0	$9.8M
Lakeland Community Hospital Watervliet	MI	Rural Health Clinic/Center	$0	$9.1M
Aqeel Khan	IL	Psychiatry Physician	$2.2M	$3.5M
Amritpal Anand	IL	Rheumatology Physician	$590.1K	$7K
Samir Elian	MI	Interventional Cardiology Physician	$374.5K	$0
Thomas Pow	MI	Interventional Cardiology Physician	$247.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Region Iv Area Agency On Aging, Inc	MI	Case Management Agency	$0	$36.3M
Hsh Senior Services, LLC	MI	Home Health Agency	$0	$35.6M
Epmg Southwest Michigan PLLC	MI	Emergency Medicine Physician	$0	$11.9M
Jason So	MI	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Benjamin Nicholson	MI	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Great Lakes Surgery Center LLC	MI	Ambulatory Surgical Clinic/Center	$1.3M	$51.3K
David Brown	MI	Ophthalmology Physician	$1.1M	$0
Erick Rivas	MI	Family Medicine Physician	$245.1K	$306.6K
Stanley Pletcher	MI	Ophthalmology Physician	$230.7K	$0
David Cooke	MI	Ophthalmology Physician	$225.5K	$0

Nathan Piovesan — Billing Profile & Reimbursement Data

Sign up for Nathan Piovesan — Billing Profile & Reimbursement Data policy alerts

Nathan Piovesan — Billing Profile & Reimbursement Data

Sign up for Nathan Piovesan — Billing Profile & Reimbursement Data policy alerts

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