MICHAEL CUNNINGHAM, M.D.
Urology Physician · WORTHINGTON, OH
Individual Active NPI 1366515405
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 684 | 8,661 | $1,203,050 | $387,652 | $296,193 |
| 2023 | 687 | 10,175 | $1,866,447 | $449,928 | $345,733 |
| 2022 | 664 | 8,023 | $1,256,181 | $294,670 | $223,751 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2,400 | $0 | $0 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 562 | $120 | $85 |
| 99426 | Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month | 487 | $59 | $43 |
| 36415 | Insertion of needle into vein for collection of blood sample | 286 | $9 | $9 |
| 84153 | Psa (prostate specific antigen) measurement, total | 229 | $18 | $18 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 189 | $59 | $46 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 189 | $86 | $56 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 90 | $158 | $106 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 82 | $10 | $8 |
| 74018 | X-ray of abdomen, 1 view | 69 | $19 | $13 |
| 52000 | Diagnostic exam of bladder and urethra using an endoscope | 66 | $215 | $164 |
| 52442 | Insertion of implant in urethra within prostate gland using an endoscope, each additional implant | 66 | $48 | $38 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Urology Physician | 208800000X | ✓ | 35067236 | OH |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Urology Physician providers in Ohio
- NPI 1205299732
- NPI 1619409109
- NPI 1417481771
- NPI 1174919948
- NPI 1376639385
- NPI 1952367641
- NPI 1134173339
- NPI 1922669993
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.