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    Tony Nimeh — Billing Profile & Reimbursement Data

    NPI 1760804777 · Fairbanks, AK · Urology Physician

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    Tony Nimeh is a urology physician provider located in Fairbanks, Alaska. This profile covers 32 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationTony Nimeh
    Address1211 Cushman St
    CityFairbanks
    StateAK
    ZIP99701
    TaxonomyUrology Physician
    NPI EnumeratedJanuary 9, 2014

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

    Payer SourceTotal Paid
    Medicare$271.6K
    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.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    52442In this add–on procedure, the provider uses a cystourethroscope to place an additional permanent adjustable transprostatic implant to retract prostatic lobes that obstruct the urethra.100$700$71.2K
    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…380$110$41.7K
    51728In this procedure, the provider performs a complex cystometrogram along with voiding pressure studies to diagnose certain urinary disorders like an overactive bladder, stress incontinence, or urinary…100$290$27.9K
    52441Using a cystourethroscope, the provider places a single permanent adjustable transprostatic implant to retract prostatic lobes that obstruct the urethra.20$1,080$18.4K
    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…100$150$15.2K
    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…180$80$14K
    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…100$140$13.6K
    76872The provider inserts an ultrasound probe into the rectum and performs a transrectal ultrasound to assess disorders of the prostate, rectum, and surrounding tissues.100$110$11.1K
    99203The provider sees a new 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 provider…80$100$7.7K
    51703The bladder catheter CPT codes provide options for reporting the procedures that best reflect the exact anatomic location of a catheter insertion, the type of catheter inserted, and, in some cases,…60$130$7.4K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    52442110100$700$71.2K
    5244111020$1,080$18.4K
    5172811060$300$17.2K
    992141261,21090$100$16.2K
    5200062060$180$12.5K
    9921524140040$150$11K
    992132421,29070$70$8.5K
    992044146030$140$6.1K
    5570091020$210$5.9K
    5170311050$130$5.6K

    Showing 1–10 of 32

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…10$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Alaska providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Alaska median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    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…434440580$170$458.7K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David SharpAKUrology Physician$356K$0
    Fairbanks UrologyAKUrology Physician$0$197K
    Paul PattonAKSurgical Physician Assistant$32K$0
    Samantha BarracloughALPhysician Assistant$7.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tanana Chiefs ConferenceAKMulti-Specialty Clinic/Center$0$107.5M
    Fairbanks Memorial Hospital, LLCAKGeneral Acute Care Hospital$0$83.6M
    Fairbanks Resource Agency IncAKCommunity/Behavioral Health Agency$0$48M
    Presbyterian Hospitality HouseAKEmotionally Disturbed Childrens' Residential Treatment Facility$0$34.9M
    Fairbanks Native AssociationAKSubstance Abuse Rehabilitation Facility$0$32.6M
    Tanana Chiefs ConfenerceAKTransportation Broker$0$24.1M
    Tanana Chiefs ConferenceAKCommunity/Behavioral Health Agency$0$17M
    Tanana Chiefs ConferenceAKMulti-Specialty Clinic/Center$0$16.3M
    Restore LLCAKSubstance Use Disorder Rehabilitation Clinic/Center$0$16.3M
    Tanana Valley Clinic LLCAKMulti-Specialty Clinic/Center$0$15.2M

    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. Alaska Distribution
    Tony Nimeh — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alaska
    Medicaid Revenue by Year vs. Alaska Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alaska Distribution
    Tony Nimeh — 0 of 0 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alaska