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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMahmoud Soubra
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    Mahmoud Soubra — Billing Profile & Reimbursement Data

    NPI 1427212224 · Austin, TX · Gastroenterology Physician

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    Mahmoud Soubra is a gastroenterology physician provider located in Austin, Texas. This profile covers 11 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
    OrganizationMahmoud Soubra
    Address12221 N Mopac Expy
    CityAustin
    StateTX
    ZIP78758
    TaxonomyGastroenterology Physician
    NPI EnumeratedJuly 11, 2008

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

    Payer SourceTotal Paid
    Medicare$29.6K
    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    45385The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a…50$210$9.4K
    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…70$90$6.7K
    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…40$120$4.1K
    G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk20$180$4K
    43239The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.30$80$2.1K
    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…20$70$1.3K
    43235The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing.10$60$900
    86258Code 86258 describes a test to identify an antibody to gliadin (deamidated) (DGP), such as DGP IgG or DGP IgA, in a specimen such as serum. A common lab method for this test is an immunoassay, such…30$10$380
    86364Code 86364 describes a test to identify an antibody tissue transglutaminase (TTG), such as TTG IgG or TTG IgA, in a specimen such as serum. A common lab method for this test is an immunoassay such…30$10$330
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.40$10$300

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453856321,13050$280$26.4K
    9921420,22432,500110$80$17.6K
    863641010150$10$14.5K
    432391,0021,21070$120$11.3K
    86258910140$10$9.3K
    G012128061020$270$8.9K
    9921325,75029,79070$60$8.4K
    992047,72516,38030$110$5.6K
    364154,5266,270100$10$4.5K
    4323535146020$110$3.2K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Monty TewTXRheumatology Physician$1.3M$0
    Joseph ImsaisTXCardiovascular Disease Physician$245.5K$0
    Raymond PaxtonTXInternal Medicine Physician$179.8K$0
    Lakshmi TennetiTXNephrology Physician$145.9K$0
    Hugh WongKSSleep Medicine (Family Medicine) Physician$133.3K$0
    Derek LeyTXFoot & Ankle Surgery Podiatrist$123.3K$0
    Ngoc-bich LeTXUrology Physician$96.6K$0
    Matthew PearsonUTUrology Physician$67.6K$0
    Stuart DamoreTXCardiovascular Disease Physician$55.9K$0
    Neelu KohliTXRegistered Dietitian$7.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Central Texas Community Health CentersTXFederally Qualified Health Center (FQHC)$0$31.5M
    St Davids Healthcare Partnership LP LLPTXGeneral Acute Care Hospital$0$15.6M
    St. David's Specialized Women's Services, PLLCTXMaternal & Fetal Medicine Physician$0$14.1M
    North Austin Surgery Center, L.P.TXAmbulatory Surgical Clinic/Center$2.1M$0
    Sylvia JaramilloTXMedical Oncology Physician$920.7K$0
    Shubhada ShrikhandeTXHematology & Oncology Physician$893.3K$0
    Lisa PersynTXPhysical Medicine & Rehabilitation Physician$797.3K$0
    Miguel AlbinoTXMedical Oncology Physician$698.2K$0
    Daniel SlaughterTXSpecialist$675.7K$0
    Allison GorrebeeckTXHematology & Oncology Physician$603.6K$0

    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
    Mahmoud Soubra — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas