Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidNagib Toubia
    Ask Trek AI about this page

    Nagib Toubia — Billing Profile & Reimbursement Data

    NPI 1861601288 · Kearney, NE · Gastroenterology Physician

    Customize your policy alerts

    Sign up for Nagib Toubia — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Nagib Toubia is a gastroenterology physician provider located in Kearney, Nebraska. This profile covers 15 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.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNagib Toubia
    Address123 W 31st St
    CityKearney
    StateNE
    ZIP68847
    TaxonomyGastroenterology Physician
    NPI EnumeratedMay 22, 2007

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

    Payer SourceTotal Paid
    Medicare$91.9K
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    43274The physician performs an ERCP (a diagnostic procedure that combines upper endoscopy and retrograde (reverse or backward) injection of contrast material, a type of dye, into the biliary ducts to…70$310$22.2K
    43238The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he carries out an ultrasound–guided, intramural or transmural fine needle…90$150$13.6K
    43264The provider performs a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of dye, into the biliary ducts to obtain fluoroscopic images…60$170$10.2K
    43276Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…30$360$10.2K
    45390The provider performs flexible colonoscopy along with excision of mucous membrane tissue using an endoscope.30$250$6.5K
    43237The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum; he also inserts an ultrasound transducer through the scope to examine these same…40$130$5.5K
    43275Endoscopic retrograde cholangiopancreatography (ERCP) is endoscopic inspection of the duodenum, the papilla of vater, followed by radiologic assessment of the pancreatic duct and the biliary…20$250$5K
    43254An esophagogastroduodenoscopy is a procedure to view the esophagus, stomach, and duodenum by means of flexible endoscope passed through the mouth. During the procedure, the provider uses an…20$200$3.9K
    43262The provider performs an endoscopic retrograde cholangiopancreatography (ERCP), a diagnostic procedure that combines upper endoscopy and retrograde (reverse) injection of contrast material, a type of…50$80$3.7K
    43245The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum and dilates one or more gastric and/or duodenal strictures.20$110$2.5K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    453859812050$280$33.2K
    4327411050$290$12.4K
    4539031020$430$9.5K
    432397611060$110$9.2K
    4323821010$150$7.9K
    4323731040$150$7.4K
    4327611020$350$7.3K
    4326411040$130$4.6K
    4327511020$250$4.4K
    4324531020$100$4.3K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of Santa ClaraCAFederally Qualified Health Center (FQHC)$0$175.9M
    Ou Health Partners, IncOKMulti-Specialty Clinic/Center$0$118.5M
    Board Of Regents Of The University Of Oklahoma - Ou PhysiciansOKMulti-Specialty Clinic/Center$0$96.6M
    Mercy Clinic Oklahoma CommunitiesOKFamily Medicine Physician$0$45.4M
    Union Associated Physicians Clinic, LLCINFamily Medicine Physician$0$31.1M
    Monument Health Rapid City Hospital, IncSDMulti-Specialty Clinic/Center$0$18.7M
    Dlp Marquette Physician Practices IncMIObesity Medicine (Internal Medicine) Physician$0$17.8M
    Dlp Marquette General Hospital LLCMIGeneral Acute Care Hospital$0$16.3M
    Monument Health Rapid City Hospital, Inc.SDGeneral Acute Care Hospital$0$11.5M
    Mercy Clinics IncIAPediatric Adolescent Medicine Physician$0$10.7M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Good Samaritan HospitalNEGeneral Acute Care Hospital$0$9.8M
    Alpha Rehabilitation, P.C.NERehabilitation Clinic/Center$0$1.2M
    Overland Trails Renal Care Group, LLCNEEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.1M
    Michael Burke, Psy.d. And Associates, P.C.NEMental Health Counselor$0$957.7K
    Anne Marie DaleNEProfessional Counselor$0$899.7K
    Apollo Medflight, LLCNEAir Ambulance$745.5K$56.7K
    First Care Medical, PCNEClinic/Center$0$725.6K
    Kearney Pain Treatment Center, LLCNEAmbulatory Surgical Clinic/Center$620.3K$0
    Tooth Fairy PCNEPediatric Dentistry$0$523.8K
    Ryan Smith Counseling Services, LLCNEMental Health Counselor$0$459K

    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. Nebraska Distribution
    Nagib Toubia — 4 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska