Providers
All 13 in NY
DANIEL KUSHNER, md
NPI 1801093588, individual, White Plains, NY, Obstetrics & Gynecology, Obstetrics
4
Evidence tier
structure or single-organization volume
- Hours beyond a day in 4 months, but with up to 782 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
- Records needed.
score 51 of 100, rank 8577, $2.9M at stake
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| Feb 2021 | More hours than a day holds at a conservative unit price | 11.8 | 40.0 | 26.6 | 37.3 | 705 | 1 | 99202 99203 99205 99212 99213 99214 99441 99442 | $86K |
| Mar 2021 | More hours than a day holds at a conservative unit price | 12.2 | 40.1 | 26.7 | 36.0 | 774 | 1 | 99202 99203 99205 99212 99213 99214 99215 99441 99442 | $97K |
| Apr 2021 | More hours than a day holds at a conservative unit price | 12.4 | 41.2 | 27.5 | 37.5 | 782 | 1 | 99202 99203 99205 99212 99213 99214 99215 99441 99442 99443 | $97K |
| May 2021 | More hours than a day holds at a conservative unit price | 10.0 | 36.3 | 24.2 | 35.7 | 674 | 1 | 99202 99203 99205 99212 99213 99214 99215 99441 99442 | $83K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | DANIEL KUSHNER, md |
| Type | Individual |
| Status | Active |
| NPI issued | June 27, 2007, last updated July 8, 2007 |
| Practice location | 222 MAMARONECK AVE, White Plains, NY 10605-1303, 914-422-0222 |
| Specialties | Obstetrics & Gynecology, Obstetrics (207VX0000X, primary, license 243982 NY) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 58558 | Biopsy of lining of uterus and/or removal of polyp using an endoscope | $2.2M | 19% | $1K | $1K (top 5% from $2K) | 74th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $2.1M | 18% | $106 | $44 (top 5% from $110) | 94th percentile | |
| 93975 | Complete ultrasound of abdomen and pelvis artery and vein blood flow | $1.1M | 9% | $271 | $69 (top 5% from $286) | 95th percentile | |
| 76830 | Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | $966K | 8% | $85 | $54 (top 5% from $126) | 76th percentile | |
| 59840 | Medicaid service code | $871K | 7% | $234 | $287 (top 5% from $661) | 32nd percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $787K | 7% | $143 | $60 (top 5% from $133) | 96th percentile | |
| 76801 | Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus | $689K | 6% | $103 | $63 (top 5% from $142) | 82nd percentile | |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | $400K | 3% | $148 | $21 (top 5% from $104) | 97th percentile |
In this area
13 providers in Westchester County, NY carry an indicator in the public record, with $36.6M at stake between them. The most common is more hours than a day holds, on 11 of them, followed by paid after a public list action on 1. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | HEALING THERAPEUTICS PHYSICAL THERAPY PLLC Port Chester, NY, ranked 356 | $3K |
|
| 3 | PREFERRED CERTIFIED, LLC Mount Vernon, NY, ranked 3864 | $0 |
|
| 4 | MARY DIDIE Valhalla, NY, ranked 7343 | $29.2M |
|
| 4 | CHRISTINA RAWLS-DOLIN Mount Vernon, NY, ranked 7513 | $37K |
|
| 4 | ROBERT SAMANIEGO Rye, NY, ranked 9337 | $317K |
|
| 4 | SURINDER PAL Ardsley, NY, ranked 9477 | $192K |
|
| 5 | CAMERON BUDENZ Tarrytown, NY, ranked 10044 | $1.4M |
|
| 5 | MUHAMMAD NAEEM Yonkers, NY, ranked 10315 | $393K |
|
Recent enforcement in NY
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJIndictedAug 20, 2026
Four Members Of The “War Room” Charged In Connection With $12 Million Medicaid Fraud Scheme
Members of a Bronx-based racketeering organization known as the "War Room" fabricated ride data for methadone clinic transportation using a GPS spoofing application, paid Medicaid patients kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in claims to Medicaid, and laundered the proceeds.
DOJIndictedAug 20, 2026
Four Members of the “War Room” Charged in Connection with $12M Medicaid Fraud Scheme
Four members of a Bronx racketeering organization known as the "War Room" fabricated medical transportation ride data using a ride-tracking app and GPS spoofing, paid Medicaid patients at methadone clinics kickbacks in cash and drugs for their enrollment information, provided the fake data to transportation companies that submitted over $12 million in Medicaid claims, and laundered the proceeds.
DOJCivil settlementAug 17, 2026
Safire nursing homes agree to pay $9 million to resolve fraudulent Medicare and Medicaid billing allegations
The United States alleged that Safire submitted false claims to Medicare and Medicaid for skilled rehabilitative therapy services that were not reasonable or necessary, not supported by medical records, not documented as provided, or not provided at all, including by scheduling therapy based on insurer reimbursement policies, pressuring therapists and residents, and manufacturing or altering therapy referrals and medical records.
DOJSentencedJul 21, 2026
Owner of Long Island Ambulette Services Company Sentenced to Prison for Multimillion Dollar Healthcare Fraud Scheme
Arshad and co-conspirators paid kickbacks to Medicaid beneficiaries to order transportation through his companies and billed Medicaid over $19 million for medical transportation rides that were not provided, including for individuals who were deceased, hospitalized or incarcerated, and inflated reimbursements with false pickup addresses and distant treatment centers.
DOJIndictedJul 2, 2026
Two Defendants Charged with Multi-Million Dollar Health Care Fraud Scheme
The defendants, who owned and operated Tri-Hamlet Taxi Inc., allegedly paid kickbacks to Medicaid beneficiaries and submitted more than $35 million in claims to Medicaid for ambulette trips that were not provided or whose costs were inflated by using false pickup or drop-off addresses.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.