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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAntoine Makhlouf
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    Antoine Makhlouf — Billing Profile & Reimbursement Data

    NPI 1376586537 · Sugar Land, TX · Urology Physician

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    Antoine Makhlouf is a urology physician provider located in Sugar Land, Texas. This profile covers 26 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAntoine Makhlouf
    Address1429 Highway 6 South
    CitySugar Land
    StateTX
    ZIP77478
    TaxonomyUrology Physician
    NPI EnumeratedJune 14, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$210.5K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99213The 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…890$70$58.1K
    99214The 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…290$90$27.4K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…130$180$24K
    J9217Leuprolide acetate (for depot suspension), 7.5 mg140$130$19.3K
    99204The provider sees a new 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 provider…160$120$19.1K
    76857A pelvic ultrasound is a noninvasive procedure used to assess one or more pelvic structures, such as bladder, ovaries, uterus, cervix, and fallopian tubes in females and the bladder, prostate gland,…300$40$10.7K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…170$40$7.1K
    76770A retroperitoneal ultrasound is a noninvasive procedure used to assess the body parts within the abdomen (i.e.Kidneys, urinary bladder, and aorta). This particular code is used when the ultrasound is…100$70$6.9K
    52441Using a cystourethroscope, the provider places a single permanent adjustable transprostatic implant to retract prostatic lobes that obstruct the urethra.30$160$4.6K
    74178The provider performs computed tomography of the abdomen and pelvis without contrast material in one or both body regions followed by contrast material in one or both body regions and additional…20$250$4.1K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    52442103070$400$35.7K
    J921795270110$130$18.4K
    992147,49832,500110$80$17.6K
    520007060060$160$12K
    8440311233040$30$11.8K
    5244153020$560$11.7K
    5235616317020$550$11K
    52235212020$440$8.8K
    9921344329,79070$60$8.4K
    850251,7942,910110$10$6.6K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Grace MakhloufTXSpecialist$3.1M$0
    Parul ShahTXInternal Medicine Physician$255.5K$0
    Ashish ValaTXSports Medicine (Family Medicine) Physician$234.7K$0
    Manaf AlroumohTXNephrology Physician$205.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Miracle Hands Healthcare ServicesTXHome Health Agency$0$65.9M
    Night-light After Hours Pediatrics PLLCTXUrgent Care Clinic/Center$0$35.1M
    Incarnation Home Health Services,inc,TXHome Health Agency$0$32.3M
    Med-source Healthcare Services, IncTXHome Health Agency$0$28.4M
    D & D Care Homes, Inc.TXIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$14.6M
    Quintessence Healthcare, IncTXHome Health Agency$0$11.9M
    Ncj Health System IncTXHome Health Agency$0$11.8M
    K2 Holistic Healthcare Services, Inc.TXHome Health Agency$0$11.1M
    Immunogenomics LLCTXClinical Medical Laboratory$227.7K$5.6M
    Topblood LLCTXClinical Medical Laboratory$4.7M$630

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Antoine Makhlouf — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas