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    OpenPayerNPI Medicare & MedicaidAshley Cunningham
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    Ashley Cunningham — Billing Profile & Reimbursement Data

    NPI 1902163272 · Milwaukee, WI · Anatomic Pathology & Clinical Pathology Physician

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    Ashley Cunningham is a anatomic pathology & clinical pathology physician provider located in Milwaukee, Wisconsin. This profile covers 18 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAshley Cunningham
    Address9200 W Wisconsin Ave
    CityMilwaukee
    StateWI
    ZIP53226
    TaxonomyAnatomic Pathology & Clinical Pathology Physician
    NPI EnumeratedApril 11, 2012

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$60.1K
    Medicaid$220

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.3,220$10$25.8K
    88189The clinician, typically a pathologist, interprets flow cytometry results of 16 or more markers.150$60$9.1K
    88305The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…210$30$6K
    85097The clinician, typically a pathologist, interprets a smear prepared from a sample of bone marrow.110$40$4.1K
    88341The lab analyst applies an additional single antibody stain on a slide or slides prepared from the same patient specimen as the initial antibody stain, such as tumor tissue. Then a qualified…160$20$3.3K
    88321A qualified provider, typically a pathologist, provides consultation and a report on slides prepared elsewhere. A unit of service is the surgical case regardless of the number of slides received.20$60$1.4K
    88187The clinician, typically a pathologist, interprets flow cytometry results of two to eight markers.50$30$1.3K
    85060The physician, typically a clinical pathologist, performs a peripheral blood smear review and provides an interpretation and written report of the examination.70$20$1.3K
    88188The clinician, typically a pathologist, interprets flow cytometry results of nine to 15 markers.30$50$1.2K
    88342The lab analyst applies an initial single antibody stain on a slide or slides prepared from a single patient specimen, such as tumor tissue. Then a qualified provider, typically a pathologist,…40$30$1.1K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    88305235300460$40$44.8K
    88341148240190$30$7.4K
    8834220527090$40$6.9K
    8830720821060$60$5K
    8818964070$60$4.8K
    88321154020$70$3.3K
    36415172,30070$10$2.3K
    8836013514050$30$2.3K
    8509745060$40$2.1K
    88188122030$50$1.6K

    Showing 1–10 of 18

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.10$10$80
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…20$10$80
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…10$1$50
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.10$1$10
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.100$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Wisconsin median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    80053The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.2542603,590$20$232.2K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.2272301,030$10$56.3K
    83036Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…248250940$10$36.8K
    85027The lab analyst performs a blood count on the red and white blood cells and platelets also known as thrombocytes. He also determines the hemoglobin, typically by spectrophotometry, and the…2172401,180$10$20.7K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.318420900$1$1.7K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Ashley Cunningham, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Celligent Diagnostics, LLCNCClinical Medical Laboratory$811.7K$1.9M
    Raafay SophieMIOphthalmology Physician$839.4K$0
    Ammar TahaWIDiagnostic Radiology Physician$410.5K$380K
    Jeffrey YoungWIOphthalmology Physician$697.5K$0
    Monther QandeelWIDiagnostic Radiology Physician$29.6K$645.7K
    Saad AliWIDiagnostic Radiology Physician$42.9K$628.5K
    Megan MaticekWIOphthalmology Physician$608.3K$0
    Ariyan JavadiWIDiagnostic Radiology Physician$58.4K$543.8K
    Susan StolzWIPhysician Assistant$406.7K$0
    Samer KassarINNeurology Physician$324K$46.7K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Wisconsin Distribution
    Ashley Cunningham — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin
    Medicaid Revenue by Year vs. Wisconsin Providers
    0 of 3 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Wisconsin Distribution
    Ashley Cunningham — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin