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 Northern Mariana Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Northern Mariana Islands 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. Northern Mariana Islands (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.

John Tudela (NPI 1598754574)

Field	Value
Entity Type	Individual
Organization	John Tudela
Address	Po Box 500409
City	Saipan
State	MP
ZIP	96950
Taxonomy	Internal Medicine Physician
NPI Enumerated	October 21, 2005

Payer Source	Total Paid
Medicare	$5.8K
Medicaid	$0

Key Findings

This provider’s Medicare footprint is very small in dollar terms: total Medicare revenue is $5.8K and there is no Medicaid revenue on file (none), making Medicare the effective sole payer represented in the claims dataset. The absolute revenue level suggests limited Medicare billing activity rather than a high-volume practice driving substantial payer spend.

Revenue is highly concentrated in a single service area: the precomputed top-3 Medicare codes account for 100.0% of this provider's total Medicare revenue, and the single listed CPT/HCPCS driving that revenue is 99232. That concentration means any change in billing or utilization for this code would materially shift this provider’s reported Medicare revenue.

The clinical mix is narrowly focused on inpatient follow-up care: 99232 denotes subsequent hospital inpatient/observation E/M visits involving a moderate level of medical decision making or at least 35 minutes of total time. This pattern is consistent with a physician who provides inpatient follow-up or hospital-based evaluation and management rather than primarily outpatient office-based primary care.

Claim-level volume and payments are modest: the file shows 94 claims for 99232 at $62 avg paid/claim, producing $5.8K in revenue. Those figures indicate many low-dollar transactions rather than fewer high-reimbursement procedures, so revenue is driven by routine inpatient E/M encounters.

On competitive standing for the primary code, the provider ranks #82164 of 177383 nationally and is listed at the 53th percentile; typical, unremarkable volume for this code, which positions them as a modest, non-dominant participant in 99232 nationally. This ranking suggests their use of 99232 is broadly in line with many peers and not an outlier in either direction.

The provider has a long NPI tenure—enumerated 2005-10-21 (~21 years ago)—so the small current billing footprint represents a long-registered clinician rather than a newly enrolled provider. Despite this long enrollment period, the billing record in these payers remains limited in scope and value.

The absence of Medicaid billing (none) prevents assessment of state-level Medicaid market share or cross-payer activity; analysts should treat this profile as effectively single-payer (Medicare) in the available claims data. Without Medicaid claims, any payer segmentation or risk-adjustment analysis will be incomplete for this clinician.

For payer or network considerations, this provider represents minimal Medicare expenditure concentrated in routine inpatient subsequent care (99232). From a utilization-management perspective, monitoring changes in frequency or coding of 99232 would capture most of the provider’s Medicare activity because the top-3 codes already account for 100.0% of Medicare revenue.

Medicare: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	90	$60	$5.8K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Northern Mariana Islands Distribution

John Tudela — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Northern Mariana Islands

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	3	10	130	$60	$6.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Santosh Rane	NV	Clinical Cardiac Electrophysiology Physician	$259.3K	$0
Christopher Boone	WA	Orthopaedic Surgery Physician	$244.7K	$0
Maheer Gandhavadi	WA	Clinical Cardiac Electrophysiology Physician	$220K	$0
Herbie Yung	WA	Physical Medicine & Rehabilitation Physician	$218.7K	$0
Brent Tinnel	WA	Radiation Oncology Physician	$215.6K	$0
Audrey Nath	TX	Neurological Surgery Physician	$210.5K	$0
Derek Rodrigues	WA	Clinical Cardiac Electrophysiology Physician	$204.2K	$0
Shannon Corrigan	WA	Emergency Medical Services (Emergency Medicine) Physician	$202.7K	$0
Elizabeth Miller	WA	Urology Physician	$195.5K	$0
Allen Geltzer	WA	Internal Medicine Physician	$169.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeanolivia Grant	MP	Family Medicine Physician	$228.7K	$0
Northern Mariana Islands Government	MP	Land Ambulance	$180.9K	$0
Keri Allen	MP	Ophthalmology Physician	$96.8K	$0
Vicente Aldan	MP	Family Medicine Physician	$87.4K	$0
Ahmad Al-alou	MP	Internal Medicine Physician	$36.1K	$0
Norma Ada	MP	Internal Medicine Physician	$32.8K	$0
Mark Robertson	MP	Optometrist	$25.8K	$0
David Hardt	MP	Optometrist	$24.1K	$0
Donald Hardt	MP	Optometrist	$23.9K	$0
Pamela Carhill	MP	Physical Therapist	$22K	$0

John Tudela — Billing Profile & Reimbursement Data

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John Tudela — 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