Paul Gene Cunningham, PT
Physical Therapist in Private Practice · Fremont
- Medicare standing
- 1 flag on the record
- Listed below.
- Plans that list them
- Not verified
- Not the same as out of network.
- Offices
- 2
- Since medical school
- 6 years
- Graduated 2020
On the public record
- Medicare does not list them as allowed to order and refer
Offices
2 locations · Mission Peak Orthopaedic Medical Group Inc · California Luna Care Physical Therapy PC
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Paul Gene Cunningham’s office to ask if they take your plan before you enroll.
Original Medicare doctor bills
$194,555
Medicare paid this office $194,555 for 287 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Therapy procedure using functional activities | 285 | $84,932 | $31 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 284 | $42,670 | $20 |
| Therapy procedure using manual technique, each 15 minutes | 275 | $33,225 | $18 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 168 | $12,808 | $23 |
| Evaluation for physical therapy, typically 30 minutes | 110 | $9,885 | $87 |
See all 7 services
| Therapy procedure using functional activities | 285 | $84,932 | $31 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 284 | $42,670 | $20 |
| Therapy procedure using manual technique, each 15 minutes | 275 | $33,225 | $18 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 168 | $12,808 | $23 |
| Evaluation for physical therapy, typically 30 minutes | 110 | $9,885 | $87 |
| Evaluation for physical therapy, typically 20 minutes | 99 | $9,502 | $92 |
| Therapy procedure for walking training, each 15 minutes | 21 | $1,038 | $20 |
Who their Medicare patients are
287 Original Medicare patients in 2024. Average age 72 · Under 65 6% · 85 and older 4% · Women 64% · Also on Medicaid 60% · Health risk score 0.97. At or below the middle of the specialty; the typical physical therapist in private practice clinician is at 1.03.
Conditions among them: High blood pressure 75% · Diabetes 51% · Coronary heart disease 26% · Chronic kidney disease 20% · Heart failure 14% · Depression 14% · Cancer 12% · COPD 12% · Atrial fibrillation 11% · Stroke 10%.
The office billed $713,917, Medicare allowed $254,834 and paid $194,555; for 7,546 services of 11 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
| 2024 | 287 | 7,546 | 72 | 0.97 | $713,917 | $194,555 |
| 2023 | 284 | 9,543 | 72 | 0.98 | $885,212 | $251,270 |
| 2022 | 304 | 7,124 | 71 | 0.99 | $433,940 | $203,403 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 9 services
| Therapy procedure using functional activities | 281 | $112,830 | $31 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 278 | $51,164 | $21 |
| Therapy procedure using manual technique, each 15 minutes | 269 | $40,745 | $19 |
| Evaluation for physical therapy, typically 30 minutes | 203 | $19,946 | $93 |
| Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 171 | $15,628 | $24 |
| Re-evaluation for physical therapy, typically 20 minutes | 48 | $3,587 | $64 |
| Evaluation for physical therapy, typically 20 minutes | 30 | $2,897 | $93 |
| Application of blood vessel compression device | 51 | $1,884 | $8 |
| Therapy procedure for walking training, each 15 minutes | 31 | $1,374 | $21 |
2022: 7 services
| Therapy procedure using functional activities | 299 | $95,558 | $32 |
| Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 300 | $39,642 | $21 |
| Therapy procedure using manual technique, each 15 minutes | 264 | $32,970 | $19 |
| Evaluation for physical therapy, typically 30 minutes | 215 | $22,010 | $94 |
| Re-evaluation for physical therapy, typically 20 minutes | 101 | $7,560 | $66 |
| Evaluation for physical therapy, typically 20 minutes | 39 | $3,889 | $95 |
| Application of blood vessel compression device | 20 | $558 | $8 |
Medicaid work
$4,370 in 2024
Medicaid paid $4,370 for 2,111 billed services this clinician did in 2024, up to 37 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 853 | $3,115 |
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 657 | $665 |
| THERAPEUTIC EXERCISES | 583 | $589 |
| Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities | 18 | $0 |
| 2024 | 2,111 | 4 | 37 | $4,370 |
| 2023 | 1,235 | 3 | 37 | $4,482 |
| 2022 | 146 | 1 | 17 | $92 |
| 2021 | 68 | 1 | 15 | $1,193 |
See the largest Medicaid services in earlier years
2023
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 636 | $2,621 |
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 306 | $1,125 |
| THERAPEUTIC EXERCISES | 293 | $736 |
2022
| MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 146 | $92 |
2021
| Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | 68 | $1,193 |
Checkups this office reported
Medicare did not publish checkup rates for this clinician.
- Medicare’s overall office score
- 88.9 / 100
- Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Professional record
- NPI
- 1861007478
- Licence
- CA PT299092
- Group
- Mission Peak Orthopaedic Medical Group Inc · California Luna Care Physical Therapy PC
- Gender
- Male
More record details
- Sole proprietor
- Yes
- Taxonomy
- Federal specialty code 225100000X (225100000X)
- Mailing address
- 39350 Civic Center Drive, Suite 300, Fremont, CA, 94538
- NPI first listed
- 2020-09-10
- NPI last updated
- 2021-11-04
- NPI record certified
- 2021-11-04
This is when the NPI record was last certified, not a medical board exam.