NP / PA
Cunningham, Nicholas
Cunningham, Nicholas was paid $152K by Medicaid between Nov 2022 and Dec 2024, across 11 billing codes. Its largest line is S9088, Services provided in an urgent care center (list in addition to code for service) — 23% of everything it billed.
33Billing provider infoCUNNINGHAM, NICHOLAS
DU BOIS, PA 15801
DU BOIS, PA 15801
33aNPI1881276244assigned 04/26/2021
33bProvider typePhysician Assistant
28Total paid$152K
24GClaims3,300
24DCodes billed11
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in Pennsylvania
Rank by total paid#45 of 511
Median peer was paid$7K
This provider vs. median23×
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 | |
|---|---|---|---|
| 2022 | 164 | $7K | |
| 2023 | 1,370 | $63K | |
| 2024incomplete | 1,766 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 23% | 1,110 | 1,075 | $35K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 20% | 264 | 260 | $30K |
| 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 | 20% | 398 | 387 | $30K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 546 | 532 | $29K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.3% | 160 | 159 | $13K |
| 99051 | 3.9% | 311 | 310 | $6K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.9% | 348 | 343 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 93 | 92 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 43 | 42 | $1K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 14 | 14 | $484.97 |
| 99050 | <1% | 13 | 13 | $240.00 |
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.