Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wisconsin for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wisconsin only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wisconsin (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Joseph Cunningham (NPI 1386653434)

Field	Value
Entity Type	Individual
Organization	Joseph Cunningham
Address	N84w16889 Menomonee Ave
City	Menomonee Falls
State	WI
ZIP	53051
Taxonomy	Clinical Neuropsychologist
NPI Enumerated	August 7, 2006

Payer Source	Total Paid
Medicare	$31K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
96139	A technician administers two or more psychological or neuropsychological tests and scores them requiring an additional 30 minutes beyond the initial 30 minutes.	340	$30	$8.6K
96132	The provider, a physician or other qualified healthcare professional, spends up to one hour administering neuropsychological tests, which includes time spent face–to–face with the patient in…	90	$90	$8K
96133	The provider, a physician or other qualified healthcare professional, administers neuropsychological tests, face–to–face with the patient. Report this code in addition to the primary code (96132) for…	90	$80	$6.9K
96116	A physician or other qualified healthcare professional performs a face–to–face assessment of a patient’s thinking, reasoning, and judgment. Report this code for the first hour of face–to–face…	90	$60	$5.2K
96138	A technician administers two or more psychological or neuropsychological tests and scores them. Report this code for the first 30 minutes of administration and scoring by any method.	90	$30	$2.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Joseph Cunningham — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
96133	24	60	80	$70	$6K
96132	13	70	50	$90	$4.9K
96139	3	40	180	$30	$4.9K
96116	7	60	40	$60	$3.1K
96138	5	40	50	$30	$1.3K

Nearby Providers

Other providers in the same ZIP code as Joseph Cunningham, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Froedtert &the Medical College Of Wisconsin Community Physicians, Inc.	WI	Internal Medicine Physician	$1.2M	$13.9M
Community Memorial Hospital Of Menomonee Falls Inc	WI	General Acute Care Hospital	$0	$10M
Superior Air-ground Ambulance Services Of Wisconsin, Inc	WI	Ambulance	$3.1M	$3.7M
Bioresolutions LLC	WI	Durable Medical Equipment & Medical Supplies	$0	$2.4M
Menomonee Falls School District	WI	Local Education Agency (LEA)	$0	$1.6M
Oxygen One, Inc.	WI	Oxygen Equipment & Supplies (DME)	$0	$1.3M
Ammar Taha	WI	Diagnostic Radiology Physician	$410.5K	$380K
Jeffrey Young	WI	Ophthalmology Physician	$697.5K	$0
Village Of Menomonee Falls	WI	Land Ambulance	$259.1K	$343.3K
Fahad Iqbal	WI	Cardiovascular Disease Physician	$142.2K	$157.7K

Joseph Cunningham — Billing Profile & Reimbursement Data

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Joseph Cunningham — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References