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    OpenPayerNPI Medicare & MedicaidFrederick Cubin
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    Frederick Cubin — Billing Profile & Reimbursement Data

    NPI 1457301004 · Casper, WY · Diagnostic Radiology Physician

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    Frederick Cubin is a diagnostic radiology physician provider located in Casper, Wyoming. This profile covers 74 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
    OrganizationFrederick Cubin
    Address419 S Washington St
    CityCasper
    StateWY
    ZIP82601
    TaxonomyDiagnostic Radiology Physician
    NPI EnumeratedMay 12, 2006

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

    Payer SourceTotal Paid
    Medicare$379K
    Medicaid$0

    Key Findings

    This provider’s billed public‑program footprint is narrowly Medicare‑focused: Total Medicare revenue is $379K and there is no Medicaid billing on file, so publicly recorded reimbursement is effectively single‑payer (Medicare) for this NPI. Analysts should treat Medicaid trends as non‑informative for this provider because no state Medicaid claims are present in the dataset.

    Revenue concentration is high in a small set of diagnostic imaging services: the precomputed top‑3 Medicare codes account for 50.5% of total Medicare revenue, led by 77067 ($107.4K revenue, 32.9%), followed by 77063 ($36.9K revenue, 11.3%) and 74177 ($20.4K revenue, 6.3%). That concentration signals reliance on a few core services—particularly mammography and abdominal/pelvic CT—for most Medicare receipts.

    The code mix points to a diagnostic radiology practice with a strong breast imaging emphasis: 77067, 77063, 77066, 77065 and biopsy codes 19083/19081 appear in the top codes, indicating routine screening, tomosynthesis, diagnostic mammography and image‑guided breast biopsy are meaningful service lines. Complementary modalities appear as well (CT: 74177, 71250, 71260; MRI: 70553, 72148; ultrasound: 76705, 76641), consistent with a full‑spectrum outpatient radiology operation rather than a single‑procedure clinic.

    Competitive standing versus national Medicare peers is mixed but generally modest to above average for several modalities: 77067 ranks #1796 of 15198 (88th percentile) and 77063 ranks #2543 of 14277 (82th percentile), placing the provider in upper quartiles for key mammography codes even while the dataset characterizes those volumes as "typical, unremarkable volume for this code." Several other services (e.g., 76705 at the 95th percentile, 77080 at the 93th percentile, 93971 at the 92th percentile) are higher percentile exposures but are still labeled by the source as "typical, unremarkable volume," so the practice is not presented as an extreme national outlier.

    Operationally, the provider shows a diversified set of lower‑revenue procedures outside the mammography core: DXA 77080 ($18K, 5.5%), vascular duplex 93880 ($12.4K, 3.8%), limited abdominal ultrasound 76705 ($6.1K, 1.9%) and a range of CT/MRI codes each contributing single‑digit percentages. This dispersion suggests the practice bills a broad outpatient imaging portfolio to Medicare rather than concentrating exclusively on a single ancillary service.

    Tenure is long: this NPI was enumerated on 2006-05-12 (~20 years ago), indicating an established presence in the market. The combination of long tenure and a steady stream of mammography, CT and ultrasound claims is consistent with a sustained diagnostic radiology practice serving an older patient population.

    From a payer‑mix and scale perspective, the absence of any Medicaid billing combined with $379K total Medicare revenue suggests modest Medicare volume in absolute terms; this is consistent with either a single clinician, a part‑time imaging contribution, or billing under other NPIs/organizations not captured here. Analysts should treat Medicare receipts as the only available public‑payer signal and seek commercial or group‑level data to understand full enterprise scale.

    There are no labels in the code list indicating extreme statistical outlier behavior; most codes are described as "typical, unremarkable volume for this code," even where percentiles are relatively high (for example, 77067 at the 88th percentile and 76705 at the 95th percentile). In short, the provider appears as a steady, established diagnostic radiologist with concentrated Medicare revenue in mammography and a broad but individually smaller set of ancillary imaging services.

    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.

    74 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…920$120$107.4K
    77063The provider captures three dimensional images of the breast using X–rays at various angles for routine checkup. He checks for the presence of any abnormality within the breasts. Tomosynthesis…710$50$36.9K
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.240$80$20.4K
    77080The provider performs an imaging procedure, called dual–energy X–ray absorptiometry (DXA), of one or more bony areas on the trunk to determine the bone mineral density (BMD) and whether the patient…470$40$18K
    93880Duplex scanning of arteries for the evaluation of blood flow is a type of non–invasive vascular diagnostic process. A physician can visualize and selectively assess the flow patterns of peripheral…100$130$12.4K
    70553In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…60$170$10.5K
    71250In this diagnostic procedure, the provider performs a computed tomography, or CT, examination of the thorax without using contrast material.170$60$10.4K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.310$30$9.8K
    74176The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.130$70$9.6K
    93971The provider performs an ultrasound scanning procedure called a duplex scan to characterize the pattern and direction of blood flow in extremity veins (arm or leg). This is a unilateral or limited…150$60$8.2K

    Showing 1–10 of 74

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    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 74 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    74 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    77067340210$80$23.8K
    74177740150$80$12.5K
    77063440200$40$10.9K
    70553133060$130$7.8K
    1908141020$330$6.9K
    1908331020$300$6.6K
    712501030100$50$6K
    72148225040$90$6K
    71275163070$70$5.7K
    74178202030$160$5.7K

    Showing 1–10 of 74

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nathan SteinleCARetina Specialist (Ophthalmology) Physician$9.5M$0
    Prema AbrahamSDRetina Specialist (Ophthalmology) Physician$7.1M$0
    Kyle ThompsonIDRetina Specialist (Ophthalmology) Physician$4.5M$0
    Douglas HolmesWYRetina Specialist (Ophthalmology) Physician$4.1M$0
    Mitchell GoffUTRetina Specialist (Ophthalmology) Physician$3.8M$0
    Brittney StatlerCOOphthalmology Physician$3.7M$0
    Arthur KorotkinCOOphthalmology Physician$3.7M$0
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K
    Brendan GirschekAZOphthalmology Physician$3.2M$0
    John BormesSDOphthalmology Physician$2.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of WyomingWYFederally Qualified Health Center (FQHC)$0$14.8M
    Bear Country Home HealthcareWYHome Health Agency$0$7.8M
    Wyoming Independent Living Rehabilitation, Inc.WYCase Management Agency$0$4.7M
    Wyoming Medical Center IncWYGeneral Acute Care Hospital$0$4.4M
    Emergency Medical Physicians PCWYEmergency Medicine Physician$0$4.1M
    Acm Therapy Group LLCWYOccupational Therapist$0$3.6M
    Emg Casper Pp LLCWYAssisted Living Facility$0$3.5M
    Renewed Hope Foundation, Inc.WYPhysical Therapist$0$2.6M
    Optimal Physical Therapy, LLCWYPhysical Therapy Clinic/Center$0$2.5M
    Cedar Ridge Child And Family CounselingWYClinical Psychologist$0$2.4M

    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. Wyoming Distribution
    Frederick Cubin — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wyoming