Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Cunningham, Robert

Cunningham, Robert was paid $81K by Medicaid between Jan 2018 and Mar 2019, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoCUNNINGHAM, ROBERT
SOMERSET, KY 42503
33aNPI1619085925assigned 08/27/2006
28Total paid$81K
24GClaims1,668
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers

Next to other Obstetrics & Gynecology Physician providers in Kentucky

Rank by total paid#19 of 53
Median peer was paid$23K
This provider vs. median3.6×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20181,360$68K
2019308$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 54% 1,113 715 $44K
99218 18% 361 299 $15K
59410 12% 12 12 $10K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 6.9% 84 76 $6K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 4.5% 42 41 $4K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 2.6% 29 28 $2K
54150 1.4% 27 25 $1K

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.