Cunningham, Michael

Cunningham, Michael was paid $25K by Medicaid between Feb 2018 and Jun 2024, across 4 billing codes. Its largest line is 99285, emergency room visit (most serious) — 79% of everything it billed.

33Billing provider infoCUNNINGHAM, MICHAEL
AUBURN, NY 13021

33aNPI1295754612assigned 07/18/2006

33bProvider typeEmergency Medicine Physician

28Total paid$25K

24GClaims1,197

24DCodes billed4

24AFirst – last monthFeb 2018 – Jun 2024

Compared with peers

Next to other Emergency Medicine Physician providers in New York

Rank by total paid#350 of 2,113

Median peer was paid$5K

This provider vs. median5.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	243	$5K
2019	204	$5K
2020	326	$5K
2021	166	$3K
2022	118	$2K
2023	80	$2K
2024incomplete	60	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	79%	756	743	$20K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	17%	154	151	$4K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	2.8%	273	267	$683.91
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	<1%	14	12	$193.36

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.