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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Abdul Zanabli (NPI 1487752093)

Field	Value
Entity Type	Individual
Organization	Abdul Zanabli
Address	500 Poplar St Ste 203
City	S Charleston
State	WV
ZIP	25309
Taxonomy	Nephrology Physician
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicare	$399.6K
Medicaid	$0

Key Findings

This provider is effectively single‑payer in the available data: Total Medicare revenue is $399.6K while Total Medicaid revenue is none (no Medicaid billing on file), indicating Medicare drives the entire billed population reflected in these records. Analysts should treat this profile as Medicare‑centric when evaluating payer strategy or risk exposure.

Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicare codes by revenue account for 44.4% of this provider's total Medicare revenue, specifically 90960 ($80K, 20.0%), 99232 ($49.6K, 12.4%), and 99214 ($47.8K, 12.0%). This concentration signals that a handful of recurring clinical activities—monthly ESRD management and moderate‑complexity inpatient and outpatient E/M visits—drive most of the revenue.

The code mix and volumes are consistent with a practicing nephrology physician who provides both ESRD/dialysis management and high volumes of E/M encounters: 90960 appears prominently (303 claims) alongside large counts of E/M codes such as 99232 (826 claims), 99213 (798 claims), and 99214 (543 claims). The presence of dialysis‑specific codes (90960, 90961 $20.4K, 90966 $11.6K, 90935 $5.4K, 90970 $2.4K) together with inpatient E/M codes indicates the provider likely covers dialysis patient management across outpatient, inpatient, and home‑dialysis settings.

Competitive standing is mixed across service lines: several inpatient and transition‑of‑care codes rank well above typical national volumes (for example, 99232 ranks in the 96th percentile and is described as notably above typical national volume; 99213 ranks in the 98th percentile; 99231 ranks in the 99th percentile), suggesting the provider is an active hospital‑based E/M contributor relative to peers. By contrast, core ESRD management codes show more typical or lower relative standing—90960 ranks in the 85th percentile and is labeled typical, unremarkable volume, while 90966 and 90962 are in lower percentiles (22th and 28th respectively), indicating the provider is not a dominant national outlier in monthly ESRD bundle billing.

The practice shows measurable adoption of remote physiologic monitoring and post‑discharge care management: 99457 ($11.6K, 342 claims) and 99454 ($9.6K, 291 claims) appear in the top codes and rank around the mid‑to‑upper peer range (99457 at the 76th percentile described as typical, unremarkable; 99454 at the 75th percentile). Transition‑of‑care codes 99496 ($9.9K, 48 claims, 90th percentile) and 99495 ($6.5K, 46 claims, 94th percentile) further indicate a practice workflow that prioritizes early post‑discharge contact and higher‑complexity transitions, consistent with care for medically complex nephrology patients.

Operationally, the provider’s revenue mix implies high encounter volume with many moderate‑complexity visits: the top E/M codes (99232, 99214, 99213) together account for a substantial share of visits and combined revenue ($49.6K + $47.8K + $45.5K among the top items listed). This pattern suggests staffing, scheduling, and revenue cycle processes are likely optimized for frequent follow‑up and inpatient consult services rather than for high volumes of standalone procedural dialysis sessions.

Tenure and stability: the NPI was enumerated on 2006-09-20 (~20 years ago), indicating a long‑standing presence in the Medicare program. Combined with the billing profile, this longevity supports an interpretation of an established clinical practice with consistent Medicare activity over multiple years.

Medicare: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	300	$260	$80K
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…	830	$60	$49.6K
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…	540	$90	$47.8K
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…	800	$60	$45.5K
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…	550	$40	$20.9K
90961	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease, or ESRD. For this service, the…	90	$220	$20.4K
99443	N/A	220	$90	$19.3K
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…	170	$100	$16.6K
93975	The provider performs a complete study of the abdominal, pelvic, scrotal, and or retroperitoneal organs using duplex ultrasound. He performs the procedure to examine the vascular supply to the organs…	90	$160	$14.7K
99457	The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and…	340	$30	$11.6K

Showing 1–10 of 25

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Abdul Zanabli — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

25 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90960	4	30	110	$270	$37.2K
90966	7	10	70	$220	$16.9K
90961	8	30	40	$220	$15K
99232	39	1,340	90	$60	$11.9K
99214	152	2,740	100	$70	$11.8K
99233	563	660	60	$90	$11.4K
90962	9	10	50	$150	$11.2K
99458	5	10	180	$30	$9.9K
99213	55	2,860	80	$50	$7.5K
99457	2	10	120	$30	$7K

Showing 1–10 of 25

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charleston Nephrology Hypertension And Transplant, PLLC	WV	Nephrology Physician	$0	$906.6K
Ramnika Gumber	WA	Nephrology Physician	$37.2K	$0
Renetta Brewer	WV	Nurse Practitioner	$29.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Urgent Care, Inc.- West Virginia	WV	Urgent Care Clinic/Center	$0	$66.9M
Herbert J. Thomas Memorial Hospital Association	WV	General Acute Care Hospital	$0	$26.1M
Mountaineer Family Medicine, Inc.	WV	Family Medicine Physician	$0	$19.5M
Ths Physician Partners Inc	WV	Internal Medicine Physician	$0	$9.2M
Appalachian Medical LLC	WV	Durable Medical Equipment & Medical Supplies	$0	$8M
Pulmonary Associates Of Char LLC	WV	Pulmonary Disease Physician	$0	$5.5M
Maccorkle Emergency Physicians PLLC	WV	Emergency Medicine Physician	$0	$4.4M
Patel & Patel Md Inc	WV	Obstetrics & Gynecology Physician	$0	$4M
Wecare Medical LLC	WV	Oxygen Equipment & Supplies (DME)	$0	$3.7M
Woman Care Clinic Inc	WV	Obstetrics & Gynecology Physician	$0	$3.5M

Abdul Zanabli — 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