Medicare Enrolled
Dr. Paul Cunningham, M.D.
Internal Medicine · Shenandoah, TX
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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 →
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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 3,748 Medicare services across 3,066 unique beneficiaries.
Between the years covered by Open Payments, Dr. Cunningham received a total of $26,941 from 82 pharmaceutical and/or device companies across 870 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. 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. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 17 years in practice
▲ Top 9% volume in TX
$26,941 industry payments
Medicare Practice Summary
Medicare Utilization ↗3,748
Medicare services
Top 9% in TX for internal medicine
3,066
Unique beneficiaries
$77
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~220 Medicare services per year of practice
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) | 703 | $87 | $314 |
| Regadenoson injection (Lexiscan) for heart stress test | 532 | $43 | $212 |
| Electrocardiogram (EKG), 12-lead | 489 | $10 | $126 |
| Office visit, established patient (20-29 min) | 377 | $56 | $212 |
| Echocardiogram, transthoracic | 304 | $133 | $1,461 |
| Technetium tc-99m tetrofosmin, diagnostic, per study dose | 226 | $26 | $37 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 205 | $45 | $406 |
| New patient office visit (45-59 min) | 186 | $111 | $483 |
| Nuclear medicine studies of heart muscle at rest and with stress and spect | 157 | $323 | $3,509 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 105 | $9 | $64 |
| Ultrasound of both sides of head and neck blood flow | 76 | $134 | $1,003 |
| Ultrasound of leg arteries or artery grafts | 58 | $166 | $1,239 |
| Cardiac catheterization | 47 | $189 | $1,310 |
| Ultrasound study of arm or leg veins with compression and maneuvers | 39 | $132 | $1,028 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 30 | $10 | $66 |
| Hospital follow-up visit, moderate complexity | 28 | $61 | $211 |
| Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days | 23 | $18 | $102 |
| Coronary stent placement | 22 | $390 | $2,405 |
| EKG interpretation and report | 22 | $6 | $50 |
| Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel | 18 | $48 | $402 |
| Ultrasound of heart, follow-up | 16 | $49 | $451 |
| Ultrasound of heart with color-depicted blood flow, rate and valve function | 16 | $14 | $310 |
| Ultrasound of heart blood flow, valves and chambers, follow-up | 15 | $14 | $143 |
| Hospital follow-up visit, high complexity | 15 | $91 | $302 |
| Review by radiologist of abdominal aorta and both leg arteries image | 14 | $66 | $337 |
| Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel | 14 | $70 | $403 |
| Insertion of tube in coronary artery for diagnosis with review by radiologist | 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. A higher procedure volume generally indicates more experience with that procedure.
10.8% high complexity
30.5% medium
58.7% 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
82
Companies
870
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$26,941 (100.0%)
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)
Consulting
Speaking
Meals & Travel
Research
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 total 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? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. 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 →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 4% for internal medicine in TX.
Equivalent to $719 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
572
Per 100K population
87.4
County median income
$97,266
Nearest hospital
HOUSTON METHODIST THE WOODLANDS HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Cunningham is a clinical cardiology specialist, with above-average Medicare volume (top 9% in TX), with low-engagement industry engagement in the top 4% of TX peers, with 17 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. 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. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Cunningham receive payments from pharmaceutical companies?
Yes. Dr. Cunningham received a total of $26,941 from 82 companies across 870 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. 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 $77. 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 a long track record of practice, Medicare participation, and industry disclosure. 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?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): 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. The Transparency Score measures 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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