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

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

Raoul Joubran (NPI 1689784373)

Field	Value
Entity Type	Individual
Organization	Raoul Joubran
Address	1441 Wilkins Circle
City	Casper
State	WY
ZIP	82601
Taxonomy	Gastroenterology Physician
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicare	$218.1K
Medicaid	$0

Key Findings

This profile is consistent with a procedure-focused gastroenterology practice: the top revenue drivers are endoscopic and therapeutic codes such as 45380, 43239, and 43248, which are colonoscopy with biopsy, upper endoscopy with biopsy, and esophageal dilation respectively. The mix of high-volume scope and biopsy codes indicates the provider’s operations are centered on ambulatory endoscopy and in-procedure tissue sampling rather than primary-care style office visits.

Revenue is highly concentrated in a small set of endoscopy codes: the top three Medicare codes (45380, 43239, 43248) together account for 63.3% of this provider’s total Medicare revenue, and individually represent $65.4K, $38.1K, and $34.8K of the $218.1K lifetime Medicare revenue. In particular, 45380 alone is 29.9% of Medicare revenue, which signals dependence on colonoscopy-with-biopsy procedures for the bulk of earnings.

Payer mix is effectively single-payer Medicare: total Medicare revenue is $218.1K while Medicaid shows none on file, so this provider’s billing footprint in the dataset is dominated by Medicare. Analysts should treat Medicaid-related competitive assumptions as unsupported by the available billing records.

For national competitive standing the provider is a high-volume outlier on core endoscopy services: 45380 ranks #208 of 16427 providers (99th percentile; extreme outlier), 43239 ranks #62 of 17140 providers (100th percentile; extreme outlier), and 43248 ranks #7 of 2425 providers (100th percentile; extreme outlier). These rank/percentile labels indicate volumes for these procedures are far above typical national volumes, positioning the provider as a major national performer on those specific codes.

Screening and preventive services appear as a meaningful but secondary component of volume: G0105 ($15.9K, 7.3% of Medicare revenue) and G0121 ($9K, 4.1% of Medicare revenue) show that both high-risk and non-high-risk colorectal screening colonoscopies are part of the case mix. This suggests the practice mixes scheduled screening procedures with diagnostic and therapeutic endoscopy rather than focusing exclusively on one segment.

Evaluation-and-management (E/M) codes and hospital initial visits represent a small share of revenue, consistent with a procedure-centric model: 99214 accounts for $5.9K (2.7% of Medicare revenue) and 99222 accounts for $2.4K (1.1% of Medicare revenue). The relatively low contribution from office E/M indicates the practice generates most revenue from billable procedures rather than from routine office follow-ups or non-procedural visits.

Diagnostic support and pathology billing are present but limited in contribution: 88305 is $3.5K (1.6% of Medicare revenue), 88342 is $949 (0.4%), and 91010 is $2.8K (1.3%). These smaller pathology and physiologic testing amounts are consistent with in-procedure biopsies and downstream lab interpretation rather than large ancillary-service lines driving revenue.

The provider has long tenure in the NPI registry (enumerated 2006-08-30, ~20 years ago), and the combination of long enumeration plus very high national ranks on core endoscopy codes suggests an established, procedure-oriented gastroenterology practice with sustained high volumes of colonoscopy and upper endoscopy procedures. This longevity coupled with concentration in a few high-volume procedural codes is relevant for competitor benchmarking and capacity planning analyses.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
45380	The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include…	520	$130	$65.4K
43239	The 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.	890	$40	$38.1K
43248	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; then through the scope, he passes a guidewire over which he passes dilators through the…	370	$90	$34.8K
45385	The 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…	140	$200	$26.9K
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	90	$170	$15.9K
G0121	Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	50	$180	$9K
45378	The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush…	80	$110	$8.3K
99214	The 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	$5.9K
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	70	$50	$3.5K
91010	The provider uses a manometer to analyze esophageal muscle pressure and movement in a patient with gastroesophageal reflux disease or GERD. He interprets the findings and prepares a report.	20	$180	$2.8K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Raoul Joubran — 4 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
88305	17	20	600	$40	$43.1K
45385	7	30	50	$300	$29.3K
45380	1	40	40	$210	$17K
43239	1	40	50	$120	$15K
43248	1	10	50	$170	$14.8K
99214	472	780	100	$80	$14.8K
G0121	5	20	30	$290	$11K
G0105	2	20	30	$260	$10.2K
99213	722	850	110	$60	$9.9K
99204	319	340	30	$110	$5K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Mitchell Goff	UT	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Brittney Statler	CO	Ophthalmology Physician	$3.7M	$0
Arthur Korotkin	CO	Ophthalmology Physician	$3.7M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K
Brendan Girschek	AZ	Ophthalmology Physician	$3.2M	$0
John Purviance	WY	Radiation Oncology Physician	$2.5M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$14.8M
Bear Country Home Healthcare	WY	Home Health Agency	$0	$7.8M
Wyoming Independent Living Rehabilitation, Inc.	WY	Case Management Agency	$0	$4.7M
Wyoming Medical Center Inc	WY	General Acute Care Hospital	$0	$4.4M
Emergency Medical Physicians PC	WY	Emergency Medicine Physician	$0	$4.1M
Acm Therapy Group LLC	WY	Occupational Therapist	$0	$3.6M
Emg Casper Pp LLC	WY	Assisted Living Facility	$0	$3.5M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Optimal Physical Therapy, LLC	WY	Physical Therapy Clinic/Center	$0	$2.5M
Cedar Ridge Child And Family Counseling	WY	Clinical Psychologist	$0	$2.4M

Raoul Joubran — 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