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 Armed Forces Americas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Americas 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. Armed Forces Americas (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.

Nathaniel Rial (NPI 1750510327)

Field	Value
Entity Type	Individual
Organization	Nathaniel Rial
Address	Naval Hospital
City	Apo
State	AA (Armed Forces Americas)
ZIP	28547
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 4, 2009

Payer Source	Total Paid
Medicare	$69K
Medicaid	$0

Key Findings

This provider’s Medicare activity is narrowly concentrated in inpatient evaluation-and-management services: the top billed codes are 99233, 99239, and 99232, which describe subsequent inpatient visits and discharge management in a hospital setting. The three codes are the primary operational footprint visible in the data and indicate the provider functions principally as an inpatient/rounding internal medicine clinician rather than an outpatient primary-care or procedure-focused clinician.

Revenue is highly concentrated: the precomputed share shows the top 3 Medicare codes by revenue account for 95.4% of this provider's total Medicare revenue. Individually, 99233 accounts for 66.4% of Medicare revenue ($45.8K), 99239 accounts for 18.4% ($12.7K), and 99232 accounts for 10.7% ($7.4K), so few codes drive nearly all of the $69K in lifetime Medicare revenue on file.

Volume and payment detail reinforce the inpatient focus: the file shows 498 claims for 99233 with an average paid per claim of $92, 144 claims for 99239 with $88 avg paid/claim, and 125 claims for 99232 with $59 avg paid/claim. These per-claim payments and counts are consistent with evaluation-and-management hospital billing rather than procedural or high-fee specialist services.

Payer mix is effectively single-payer Medicare for the record period: total Medicare revenue is $69K and there is no Medicaid billing on file. The absence of Medicaid billing suggests either non-participation in Medicaid, a practice location or patient panel with minimal Medicaid population, or billing under a different provider/entity for non-Medicare encounters.

Competitive standing by code is modest to typical nationally: 99233 ranks #8511 of 128818 providers (93th percentile) but is labeled in the data as "typical, unremarkable volume for this code," while 99239 ranks #10304 of 62398 (83th percentile) and 99232 ranks #68220 of 177383 (61th percentile), both also described as typical and unremarkable. In sum, the provider is not a dominant national outlier for these codes despite a relatively high percentile on 99233 — the activity profile aligns with many hospital-based internists.

Smaller scale of Medicare revenue suggests limited panel or part-time hospital practice: lifetime Medicare revenue on file is $69K, and the top three codes together produce the bulk of that sum. For payers and network planners, this signals a low overall Medicare revenue footprint despite focused inpatient coding intensity.

Secondary/low-volume codes provide limited diversification: 99223 appears as a smaller contributor ($3.2K, 4.6% of Medicare revenue) with 24 claims at $132 avg paid/claim and is also characterized as a typical national volume for that code. There is no evidence in the claim mix of procedure-driven revenue streams or outpatient chronic care codes that would materially change the business profile.

Provider tenure is long enough to be established: NPI enumeration is 2009-07-04 (~17 years ago), indicating sustained enrollment and the potential for consistent, hospital-based practice over time. For utilization management and credentialing teams, the long tenure paired with a narrowly focused inpatient code set supports treating this provider as a longstanding inpatient internal medicine clinician rather than a new or ambulatory-only practitioner.

Medicare: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	500	$90	$45.8K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	140	$90	$12.7K
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…	130	$60	$7.4K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	20	$130	$3.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes. Note: this provider's state, "AA," is a US military postal designation for Armed Forces stationed in the Americas (outside the US and Canada) — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Americas Distribution

Nathaniel Rial — 1 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Americas

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	1	10	500	$90	$45.7K
99239	1	10	140	$90	$12.7K
99232	1	10	70	$60	$4.1K
99223	1	10	20	$130	$3.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cogent Healthcare Of Arizona PC	AZ	Internal Medicine Physician	$0	$15.3M
Tucson Physician Group Holdings, LLC	AZ	Interventional Cardiology Physician	$0	$11.5M
Jasmit Minhas	WA	Internal Medicine Physician	$965.4K	$0
Kermit Murray	AZ	Family Medicine Physician	$347.6K	$0
Alberto Corica	AZ	Urology Physician	$287.3K	$0
Maryclare Mccarthy	AZ	Orthopaedic Hand Surgery Physician	$248.3K	$0
Fadi Deeb	AZ	Gastroenterology Physician	$197.2K	$44.9K
Bechara Mezher	AZ	Gastroenterology Physician	$166.7K	$73.7K
Imran Sheikh	AZ	Clinical Cardiac Electrophysiology Physician	$226.6K	$0
Russell Forsberg	AZ	Physician Assistant	$216.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vincent Champion	NC	Diagnostic Radiology Physician	$406.6K	$166.9K
Brent Lacey	NC	Gastroenterology Physician	$243.5K	$0
Sawsan Ghurani	NC	Psychiatry Physician	$191.4K	$0
Eric Gessler	NC	Otolaryngology Physician	$185.4K	$0
Marcel Macgilvray	NC	Diagnostic Radiology Physician	$78.4K	$0
Drew Geller	NC	Internal Medicine Physician	$39.7K	$0
William Chen	NC	Foot & Ankle Surgery Podiatrist	$32K	$0
Stella Hayes	NC	Family Medicine Physician	$30.5K	$0
Claire Esposito	NC	Anesthesiology Physician	$19.4K	$0
James Hines	NC	Certified Registered Nurse Anesthetist	$17.2K	$0

Nathaniel Rial — Billing Profile & Reimbursement Data

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Nathaniel Rial — 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