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Dante Cubangbang

Physical Medicine & Rehabilitation·Flushing, NY·NPI: 1770582124SharePrint ReportML Risk: 85%

Total Paid

$27K

$26,647

Total Claims

3,352

Beneficiaries

2,403

1.4 claims/patient

Avg Cost/Claim

$8

🔍 Analysis

Provider Overview

Dante Cubangbang is a Physical Medicine & Rehabilitation provider based in Flushing, NY. From 2018-01 through 2018-10, this provider received $27K in Medicaid payments across 3K claims serving 2K beneficiaries, billing 10 distinct procedure codes.

Key Findings

  • 📊Billing stopped in 2018-10, suggesting this provider is no longer active in Medicaid. Abrupt cessation of billing can be a risk indicator.

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 38% of total spending.

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$10K

1,086 claims · 37.6%

Your Cost: $9.22/claim|Median: $37.81
0.2× median
76942Normal range

$7K

494 claims · 27.0%

Your Cost: $14.58/claim|Median: $24.73
0.6× median
J7321Normal range

Hyaluronan injection for knee joint supplement

$6K

361 claims · 23.4%

Your Cost: $17.31/claim|Median: $24.72
0.7× median
97110Normal range

Therapeutic exercises, each 15 min

$854

93 claims · 3.2%

Your Cost: $9.19/claim|Median: $24.49
0.4× median
97124Normal range

$797

87 claims · 3.0%

Your Cost: $9.16/claim|Median: $17.78
0.5× median
97032Normal range

Electrical stimulation, manual

$546

93 claims · 2.1%

Your Cost: $5.88/claim|Median: $9.42
0.6× median
97535Normal range

Self-care/home management training, per 15 minutes

$342

31 claims · 1.3%

Your Cost: $11.02/claim|Median: $18.18
0.6× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$218

469 claims · 0.8%

Your Cost: $0.46/claim|Median: $29.03
0.0× median
80305Normal range

$217

585 claims · 0.8%

Your Cost: $0.37/claim|Median: $7.44
0.0× median
97035Normal range

Ultrasound therapy

$215

53 claims · 0.8%

Your Cost: $4.06/claim|Median: $7.31
0.6× median