Dr. Thomas Cunningham, MD
23845 Holman Hwy Ste 227, Monterey, CA 93940 • +1-730-555-2771
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Monterey Percentiles
NPI #1700812799 • CBSA Regional • Obstetrics & Gynecology
CMS Medicare Part B utilization records credit Dr. Thomas Cunningham (MD, NPI 1700812799) at 23845 Holman Hwy Ste 227 in Monterey with 710 annual clinical services (222 beneficiaries), corresponding to a -0.41σ regional deviation and focused low-volume boutique caseload (0th Monterey percentile) with sub-specialty concentration in 39 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1700812799 highlights 277 annual claims for 99214 (12th Monterey percentile; $215–$295 self-pay corridor) plus 170 encounters under 76830 and 142 under 99213.
Self-pay new patient consultations with Dr. Cunningham (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with in-person clinic visits only, 18-minute average reception wait, and a 4.58/5 modern protocol openness score across 24 patient logs.
Patients evaluating Dr. Thomas Cunningham in ZIP 93940 note 16 years of post-doctoral tenure (null, 2010) alongside 3.2 annual CMS procedures per patient.
Compared against Monterey, CA Obstetrics & Gynecology peers
710 annual services across 222 beneficiaries
Standard deviations from CA Obstetrics & Gynecology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Gynecologic, Menopause HRT & Endocrine Follow-Up | 277 | 12th | $215 – $295 |
| 76830 | Transvaginal Pelvic & Ovarian Diagnostic Ultrasound | 170 | 12th | $277 – $380 |
| 99213 | Established Women’s Health & Preventive Care Visit | 142 | 12th | $169 – $231 |
| 58100 | Endometrial Sampling Biopsy w/ Cannula | 64 | 12th | $290 – $398 |
| 99204 | Comprehensive New Patient OB/GYN & Hormone Evaluation | 57 | 12th | $303 – $416 |
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Dr. Thomas Cunningham, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Cunningham National Provider Identifier | NPI #1700812799 (MD) | CMS NPPES Registry (93940) |
| Dr. Cunningham Monterey CMS Volume Rank | 0.00th Pct (710 CMS svcs; Z -0.406σ) | CMS Medicare Part B (CA Obstetrics & Gynecology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Monterey, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 18 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.58/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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