Cunningham, Michelle

Cunningham, Michelle was paid $114K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.

33Billing provider infoCUNNINGHAM, MICHELLE
HARVEY, IL 60426

33aNPI1437597846assigned 06/07/2013

33bProvider typePediatrics Physician

28Total paid$114K

24GClaims2,906

24DCodes billed18

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in Illinois

Rank by total paid#694 of 1,805

Median peer was paid$55K

This provider vs. median2.1×

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	1,272	$55K
2019	615	$22K
2020	208	$5K
2021	366	$13K
2022	311	$13K
2023	13	$639.86
2024incomplete	121	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	42%	1,036	891	$48K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	19%	291	232	$21K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	12%	200	172	$13K
96110	Developmental screening, with scoring and documentation, per standardized instrument	7.5%	496	402	$8K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	4.5%	83	66	$5K
90670		4.1%	155	118	$5K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	3.3%	44	34	$4K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.4%	36	36	$3K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	1.3%	43	37	$1K
96160		1.3%	123	105	$1K
90698		1.0%	71	54	$1K
99173		<1%	142	135	$969.89

6 more codes

90686		<1%	71	$803.17
90633		<1%	37	$396.95
90744		<1%	34	$269.88
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	17	$217.31
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	14	$179.27
36415	Collection of venous blood by venipuncture	<1%	13	$20.50

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.