Medicare Enrolled
Dr. Paul Cunningham, M.D.
Internal Medicine · Shenandoah, TX
Practice pattern: Cardiac Imaging
— Practice with significant diagnostic imaging and stress testing
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Cunningham from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Cunningham?
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What this data tells you about Dr. Cunningham
Dr. Paul Cunningham is an internal medicine specialist in Shenandoah, TX, with 17 years of NPI registration. Based on federal Medicare data, Dr. Cunningham performed 4,030 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Cunningham received a total of $26,941 from 82 pharmaceutical and/or device companies across 870 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Cunningham is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 17 years of NPI registration
▲ Top 9% volume in TX
$26,941 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗4,030
Medicare services
Top 9% in TX for internal medicine
Not available
Unique patients (not deduplicated)
$74
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
703 | $87 | $314 |
| Regadenoson injection (Lexiscan) for heart stress test An injection of regadenoson, a medication used to stress the heart during diagnostic testing. |
532 | $43 | $212 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
489 | $10 | $126 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
412 | $111 | $1,262 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
377 | $56 | $212 |
| Technetium Tc-99m tetrofosmin diagnostic injection A diagnostic injection of Technetium Tc-99m tetrofosmin used for imaging studies. |
226 | $26 | $37 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram under physician supervision and review. |
205 | $45 | $406 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
186 | $111 | $483 |
| Nuclear stress test of heart muscle A nuclear medicine imaging test that evaluates blood flow to the heart muscle at rest and during stress using a special camera. |
180 | $289 | $3,188 |
| Sedation by physician, initial 15 minutes Administration of a drug to induce depression of consciousness by the physician performing a procedure. This code covers the initial 15 minutes of sedation for patients aged 5 years or older. |
105 | $9 | $64 |
| Ultrasound of head and neck blood flow, bilateral An ultrasound exam that uses sound waves to visualize and assess blood flow in the vessels of both the head and the neck. |
76 | $134 | $1,003 |
| Echocardiogram with color Doppler An ultrasound of the heart that uses color imaging to visualize blood flow, measure flow rate, and assess valve function. |
70 | $5 | $265 |
| Follow-up heart ultrasound An ultrasound of the heart performed to monitor or reassess a previously identified condition or treatment progress. |
65 | $27 | $201 |
| Follow-up ultrasound of heart blood flow, valves and chambers An ultrasound exam that follows up on the heart's blood flow, valves, and chambers. It uses sound waves to create images of the heart's structure and function. |
63 | $7 | $60 |
| Ultrasound of leg arteries or grafts An imaging test that uses sound waves to create pictures of the blood vessels in the legs or any surgical grafts present. |
58 | $166 | $1,239 |
| Cardiac catheterization | 47 | $189 | $1,310 |
| Ultrasound of arm or leg veins An ultrasound exam of the veins in the arm or leg. The test uses sound waves to check blood flow and may include compression and other maneuvers. |
39 | $132 | $1,028 |
| Exercise or drug-induced heart stress test with ECG A heart stress test performed using exercise or medication while monitoring the electrocardiogram, with physician review of the results. |
30 | $10 | $66 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
28 | $61 | $211 |
| Continuous EKG monitoring review, 48-7 days Review and interpretation of continuous external EKG recordings lasting more than 48 hours up to 7 days. |
23 | $18 | $102 |
| Coronary stent placement A procedure to insert a stent into a coronary artery or its branch to keep it open, using balloon dilation during the process. |
22 | $390 | $2,405 |
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
22 | $6 | $50 |
| Intravascular ultrasound of heart vessel, initial An ultrasound procedure used to evaluate a blood vessel within the heart during a diagnostic or treatment procedure. |
18 | $48 | $402 |
| Hospital follow-up visit, high complexity Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter. |
15 | $91 | $302 |
| Radiologist review of abdominal aorta and leg artery images A radiologist reviews images of the abdominal aorta and the arteries in both legs. This process involves analyzing the visual data to assess the condition of these blood vessels. |
14 | $66 | $337 |
| Ultrasound of heart blood vessel or graft An ultrasound exam to evaluate blood flow in a heart blood vessel or graft, including a radiologist's review of the initial vessel. |
14 | $70 | $403 |
| Coronary angiography A procedure to insert a tube into a coronary artery to capture diagnostic images of the heart's blood vessels. |
11 | $153 | $1,074 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. These counts do not measure clinical quality or years of experience.
13.5% high complexity
37.5% medium
49.0% routine
Industry Payment Transparency
Open Payments through 2024 ↗$26,941
Total received (2018-2024)
Avg $3,849/year across 7 years
Top 4% in TX for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
82
Companies
870
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →
Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$2,989
2023
$2,634
2022
$4,098
2021
$3,772
2020
$2,221
2019
$6,635
2018
$4,592
Payments by company (2024)
Medtronic, Inc.
$556
Novartis Pharmaceuticals Corporation
$430
Abbott Laboratories
$337
Boston Scientific Corporation
$305
ATRICURE, INC.
$195
ABIOMED
$178
Actelion Pharmaceuticals US, Inc.
$119
E.R. Squibb & Sons, L.L.C.
$115
Smith+Nephew, Inc.
$112
AngioDynamics, Inc.
$110
Kestra Medical Technology Services, Inc.
$73
Imperative Care, Inc
$67
Merck Sharp & Dohme LLC
$63
Amgen Inc.
$55
Boehringer Ingelheim Pharmaceuticals, Inc.
$51
Regeneron Healthcare Solutions, Inc.
$37
CARDIVA MEDICAL, INC.
$30
Edwards Lifesciences Corporation
$28
PFIZER INC.
$26
CVRx, Inc.
$24
Novo Nordisk Inc
$18
BIOTISSUE HOLDINGS INC.
$18
iRhythm Technologies, Inc.
$16
AstraZeneca Pharmaceuticals LP
$14
Tactile Systems Technology Inc
$14
Top 3 companies account for 44.2% of 2024 payments
All-time payments by company (2018-2024) ›
Abbott Laboratories
$5,911
Medtronic Vascular, Inc.
$3,938
Amgen Inc.
$2,150
Novartis Pharmaceuticals Corporation
$1,367
Avinger Inc.
$1,157
Boston Scientific Corporation
$1,055
Medtronic, Inc.
$820
E.R. Squibb & Sons, L.L.C.
$746
Janssen Pharmaceuticals, Inc
$730
Siemens Medical Solutions USA, Inc.
$584
ABIOMED
$566
Boehringer Ingelheim Pharmaceuticals, Inc.
$531
Impulse Dynamics (USA) Inc.
$416
PFIZER INC.
$386
Inari Medical, Inc.
$361
Smith+Nephew, Inc.
$354
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$346
Merck Sharp & Dohme LLC
$327
Shockwave Medical, Inc
$283
Actelion Pharmaceuticals US, Inc.
$262
AstraZeneca Pharmaceuticals LP
$261
SANOFI-AVENTIS U.S. LLC
$247
Esperion Therapeutics, Inc.
$223
Corindus Inc.
$222
ShockWave Medical, Inc
$213
CVRx, Inc.
$210
ATRICURE, INC.
$195
Surmodics, Inc.
$184
AngioDynamics, Inc.
$169
BOSTON SCIENTIFIC CORPORATION
$158
Relypsa, Inc.
$138
HeartFlow, Inc.
$135
EKOS Corporation
$129
Regeneron Pharmaceuticals, Inc.
$129
Tactile Systems Technology Inc
$123
Philips Electronics North America Corporation
$117
Regeneron Healthcare Solutions, Inc.
$112
Venclose Inc.
$91
GE HEALTHCARE
$90
BIOTRONIK INC.
$89
Aziyo Biologics, Inc.
$75
Kestra Medical Technology Services, Inc.
$73
Imperative Care, Inc
$67
Merck Sharp & Dohme Corporation
$67
Amarin Pharma Inc.
$67
Lantheus Medical Imaging, Inc.
$62
Chiesi USA, Inc.
$60
G Medical Diagnostic Services, Inc.
$60
Allergan Inc.
$58
Gilead Sciences, Inc.
$51
Biosense Webster, Inc.
$46
Cook Medical LLC
$44
Astellas Pharma US Inc
$43
Terumo Medical Corporation
$35
PORTOLA PHARMACEUTICALS, INC.
$35
Baxter Healthcare
$34
CHIESI USA, INC.
$30
Bardy Diagnostics, Inc.
$30
Kowa Pharmaceuticals America, Inc.
$30
CARDIVA MEDICAL, INC.
$30
Urgo Medical North America, LLC
$29
LSI SOLUTIONS INC
$29
Edwards Lifesciences Corporation
$28
Biocompatibles, Inc.
$26
ARALEZ PHARMACEUTICALS US INC.
$25
Bard Peripheral Vascular, Inc.
$24
Silk Road Medical, Inc.
$22
GE HealthCare
$20
PolyNovo North America LLC
$19
Novo Nordisk Inc
$18
BIOTISSUE HOLDINGS INC.
$18
Braemar Manufacturing, LLC
$18
iRhythm Technologies, Inc.
$16
Pacira Pharmaceuticals Incorporated
$16
Preventice Services, LLC
$16
ZOLL Circulation Inc
$16
Cardiovascular Systems Inc.
$15
GENZYME CORPORATION
$15
ACELL, INC.
$13
Lexicon Pharmaceuticals, Inc.
$13
LeMaitre Vascular, Inc.
$11
ARBOR PHARMACEUTICALS, INC.
$11
Top 3 companies account for 44.5% of all-time payments
Associated products mentioned in payments ›
(5027) Intact Vascular Und · ABRE · ALLURE QUADRA · ANDEXXA · ASSURITY · ATRICLIP LAA EXCLUSION SYSTEM · AURYON LASER SYSTEM 100-120 VAC · AVEIR · Ablation Therapy Hardware · Advisa · Allure CRT Pacemaker · Assure WCD · Assurity Pacemaker · Auryon Laser System 100-120 Vac · BRILINTA · BYDUREON · BYSTOLIC · Barostim Neo System · Biograph Vision 600 (8 Ring/64 CT) · BodyGuardian · CAMZYOS · CARDENE · CARDIOMEMS · CONCERTOTM · CONFIRM RX · COOK MEDICAL ZILVER PTX · COR KNOT · COSEAL · CRT-Ds · Cardiac Monitoring Suite · CardioMEMS HF System · CareLink · Carnation Ambulatory Monitor · Carto 3 System · Carto Smarttouch · Claria MRI · ClosureFast · Confirm Rx · Connectivity and Remote care · CorPath GRX · CorPath Imaging System · CoreValve Evolut · Corlanor · Definity · Diamondback Peripheral · ECM Patch · EKOSONIC · ELIQUIS · ENROUTE Transcarotid Neuroprotection System · ENSITE · ENTRESTO · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · EPIC · EVKEEZA · EVRSF · Edarbi · Edora 8 DR-T · EnSite Precision Cardiac Mapping System · Ensite Cardiac Mapping System · Epic Stented Tissue Valve · Exparel · FABRAZYME · FARXIGA · FFRct · FLEXITOUCH · FLOWTRIEVER CATHETER · Flexitouch Plus · GENERAL VASCULAR INTERVENTION · GENERAL - THROMBECTOMY · GENERAL ATHERECTOMY · GENERAL TACHY · GRAFIX PL · General - Therapies · HAWKONE · HYDRO LEMAITRE VALVULOTOME · HawkOne · HeartMate 3 Left Ventricular Assist Device · HeartMate 3 Left Ventricular Dev · IN.PACT Admiral · Impella · Inpefa · JARDIANCE · JETI · KENGREAL · KENGREAL 50MG/10ML L · LEQVIO · LEXISCAN · LINQ II · LUX-DX · LifeVest · Livalo · MERLIN@HOME · MITRACLIP · MITRIS RESILIA Mitral Valve · MULTAQ · Merlin Connectivity and Remote · Mitra Clip system · MitraClip System · NEXLETOL · NEXLIZET · OPSUMIT · OPSUMIT MACITENTAN · OPTIMIZER · Optimizer · Optimizer Smart System · Ozempic · PANTHERIS · PRADAXA · PRALUENT · PRALUENT ALIROCUMAB INJECTION · PROCLAIM · PRODIGY CATHETER · Perclose ProGlide suture mediated closure system · Pouch · Pounce Thrombectomy System · QUADRA ASSURA · QUARTET · Quadra Allure MP RF CRT Pacemkr · Quadra Assura CRT Defibrillator · Quartet CRT Lead · Repatha · Resolute · Reveal LINQ · S · SAVVYWIRE · SHOCKWAVE IVL SYSTEM WITH THE SHOCKWAVE C2 CORONARY IVL CATHETER · STRAVIX · STRAVIX PL · SYNERGY ABLATION SYSTEM · Sublime 014 Rx PTA Balloon Dilatation Catheter · Supera peripheral stent system · THORATEC HEARTMATE 3 LVAS IMPLANT KIT · Telescope · Temperature Management System · UPTRAVI · VARITHENA · VASHE WOUND SOLUTION 250 ML (8.5 FL OZ) FLIP TOP CAP · VENASEAL · VERQUVO · VIGILANT · VYNDAQEL · Varithena Administration Pack · Vascepa · Vascular Lithotripsy · Veltassa · VenaSeal · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · Wolverine Coronary Cutting Balloon · XARELTO · XIENCE SIERRA · ZONTIVITY · Zio monitor
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Geographic Context
Internal medicine physicians in nearby ZIP areas
572
County median income
$97,266
Nearest hospital to ZIP centroid (approximate)
HOUSTON METHODIST THE WOODLANDS HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | NPPES snapshot; verify current record |
| Medicare Enrollment | ✓ PECOS | PECOS snapshot |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not included | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Cunningham is a cardiac imaging specialist, with above-average Medicare volume (top 9% in TX), with 17 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Cunningham experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Cunningham performed 703 office visit, established patient (30-39 min) services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Cunningham receive payments from pharmaceutical companies?
Yes. Dr. Cunningham received a total of $26,941 from 82 companies across 870 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Cunningham's costs compare to other internal medicine physicians in Shenandoah?
Dr. Cunningham's average Medicare payment per service is $74. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Cunningham) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
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About this page
This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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