Payment Breakdown by Category
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Food and Beverage | $89.71 | 2 | 100.0% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| Novartis Pharmaceuticals Corporation | $76.29 | 1 | $0 (2017) |
| Janssen Pharmaceuticals, Inc | $13.42 | 1 | $0 (2020) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2020 | $13.42 | 1 | Janssen Pharmaceuticals, Inc ($13.42) |
| 2017 | $76.29 | 1 | Novartis Pharmaceuticals Corporation ($76.29) |
All Payment Transactions
2 individual payment records from CMS Open Payments
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/03/2020 | Janssen Pharmaceuticals, Inc | XARELTO (Drug) | Food and Beverage | In-kind items and services | $13.42 | General |
| Category: Cardiovascular & Metabolism | ||||||
| 08/16/2017 | Novartis Pharmaceuticals Corporation | ENTRESTO (Drug) | Food and Beverage | In-kind items and services | $76.29 | General |
| Category: CARDIOVASCULAR | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 4 | 451 | 791 | $559,528 | $68,955 |
| 2022 | 8 | 440 | 631 | $500,293 | $54,991 |
| 2021 | 6 | 528 | 859 | $670,512 | $72,583 |
| 2020 | 7 | 700 | 1,108 | $861,082 | $96,604 |
All Medicare Procedures & Services
25 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Facility | 2023 | 213 | 498 | $357,564 | $45,652 | 12.8% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2023 | 140 | 144 | $106,128 | $12,724 | 12.0% |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Facility | 2023 | 74 | 125 | $62,500 | $7,406 | 11.8% |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Facility | 2023 | 24 | 24 | $33,336 | $3,173 | 9.5% |
| 99233 | Follow-up hospital inpatient care per day, typically 35 minutes | Facility | 2022 | 177 | 351 | $252,411 | $27,762 | 11.0% |
| 99223 | Initial hospital inpatient care per day, typically 70 minutes | Facility | 2022 | 68 | 68 | $94,553 | $10,370 | 11.0% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2022 | 111 | 115 | $84,808 | $9,320 | 11.0% |
| 99220 | Initial hospital observation care per day, typically 70 minutes | Facility | 2022 | 15 | 16 | $20,048 | $2,211 | 11.0% |
| 99222 | Initial hospital inpatient care per day, typically 50 minutes | Facility | 2022 | 16 | 16 | $15,168 | $1,663 | 11.0% |
| 99232 | Follow-up hospital inpatient care per day, typically 25 minutes | Facility | 2022 | 18 | 29 | $14,525 | $1,596 | 11.0% |
| 99217 | Hospital observation care on day of discharge | Facility | 2022 | 21 | 21 | $10,573 | $1,166 | 11.0% |
| 99497 | Advance care planning, first 30 minutes | Facility | 2022 | 14 | 15 | $8,207 | $901.88 | 11.0% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2021 | 211 | 507 | $375,738 | $40,737 | 10.8% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2021 | 181 | 182 | $138,995 | $15,088 | 10.9% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2021 | 64 | 64 | $92,128 | $9,774 | 10.6% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2021 | 33 | 67 | $34,337 | $3,774 | 11.0% |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | Facility | 2021 | 18 | 18 | $17,500 | $1,918 | 11.0% |
| 99497 | Advance care planning by the physician or other qualified health care professional, first 30 minutes | Facility | 2021 | 21 | 21 | $11,814 | $1,292 | 10.9% |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | Facility | 2020 | 296 | 659 | $488,385 | $54,872 | 11.2% |
| 99239 | Hospital discharge day management, more than 30 minutes | Facility | 2020 | 201 | 207 | $158,088 | $17,675 | 11.2% |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | Facility | 2020 | 86 | 86 | $123,797 | $13,790 | 11.1% |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | Facility | 2020 | 54 | 91 | $46,637 | $5,309 | 11.4% |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | Facility | 2020 | 20 | 20 | $19,444 | $2,226 | 11.4% |
| 99497 | Advance care planning by the physician or other qualified health care professional | Facility | 2020 | 30 | 32 | $18,003 | $2,033 | 11.3% |
| 99217 | Hospital observation care on day of discharge | Facility | 2020 | 13 | 13 | $6,728 | $697.61 | 10.4% |
About Nathaniel Rial, MD/PHD/MPH
Nathaniel Rial, MD/PHD/MPH is a Internal Medicine healthcare provider based in Apo, AA. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 07/04/2009. The National Provider Identifier (NPI) number assigned to this provider is 1750510327.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Nathaniel Rial, MD/PHD/MPH has received a total of $89.71 in payments from pharmaceutical and medical device companies, with $13.42 received in 2020. These payments were reported across 2 transactions from 2 companies. The most common payment nature is "Food and Beverage" ($89.71).
As a Medicare-enrolled provider, Rial has provided services to 2,119 Medicare beneficiaries, totaling 3,389 services with total Medicare billing of $293,133. Data is available for 4 years (2020–2023), covering 25 distinct procedure/service records.
Practice Information
- Specialty Internal Medicine
- Location Apo, AA
- Active Since 07/04/2009
- Last Updated 02/04/2025
- Taxonomy Code 207R00000X
- Entity Type Individual
- Practice Solo Practitioner
- NPI Number 1750510327
Products in Payments
- ENTRESTO (Drug) $76.29
- XARELTO (Drug) $13.42
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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