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

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

Joe Leal (NPI 1740367135)

Field	Value
Entity Type	Individual
Organization	Joe Leal
Address	107 Dilworth St
City	Glendive
State	MT
ZIP	59330
Taxonomy	Hospitalist Physician
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicare	$37.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	130	$100	$12.5K
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…	160	$60	$10K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	130	$60	$8K
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…	140	$40	$5.1K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	30	$60	$1.8K
99307	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making or the…	30	$10	$250

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Joe Leal — 2 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99232	150	560	70	$60	$8K
99222	8	390	20	$100	$3.3K
99231	20	240	40	$40	$2.2K
99238	4	170	20	$60	$2K
99307	17	20	50	$30	$1.5K
99221	12	50	20	$60	$1.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Belmond Community Hospital	IA	Rural Health Clinic/Center	$0	$1.9M
William Winn	MN	Diagnostic Radiology Physician	$997.1K	$0
Glendive Medical Center, Inc	MT	Critical Access Hospital	$0	$597.4K
Mark Ellis	MN	Specialist	$337.9K	$0
Drew Hunter	AZ	Diagnostic Radiology Physician	$306.2K	$0
Scott Sullivan	CT	Diagnostic Radiology Physician	$219K	$0
Kimberly Jordan	MN	Diagnostic Radiology Physician	$215.2K	$0
Anthony Roccisano	MT	Orthopaedic Surgery of the Spine Physician	$214.1K	$0
Joseph Rozell	MN	Diagnostic Radiology Physician	$208K	$70
Muhammad Abdul-wahab	IA	Diagnostic Radiology Physician	$179.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Calkins	MT	Dentist	$0	$717.7K
Glendive Public Schools	MT	Local Education Agency (LEA)	$0	$647.1K
Glendive Counseling Center	MT	Professional Counselor	$0	$404.4K
Deborah Robart	MT	Professional Counselor	$0	$390.7K
City Of Glendive	MT	Ambulance	$103.5K	$39.5K
Troy Myers	MT	Optometrist	$98.2K	$0
Tonya Gallup	MT	Physical Therapist	$67.7K	$0
Jeffery Schultz	MT	Certified Registered Nurse Anesthetist	$58.7K	$0
Clifford Reske	MT	Internal Medicine Physician	$21.3K	$0

Joe Leal — Billing Profile & Reimbursement Data

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Joe Leal — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References