Physician

Kevin James Cunningham, M.D.

According to 2025 Medicare claims, Kevin Cunningham, M.D. (NPI: 1003809831) practices internal medicine in the Des Moines-West Des Moines, IA market, with the plurality of this provider's patient population coming from Polk, IA. This provider's primary affiliated billing organization is THE IOWA CLINIC PC (NPI: 1346233178; TIN: 421420077) and primary practice location at 50266-9998. Cunningham is affiliated with the Stratum Med ACO (ACO ID: A4527), Main Street Rural Health Willow ACO LLC (ACO ID: A5404), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Cunningham's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 633 traditional Medicare patients, billed 25,009 HCPCS/CPT codes, and received $438,448 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 8,445 prescription claims across 654 beneficiaries totaling $520,499 in drug costs, led by Eliquis (Apixaban). DME data shows 295 claims. No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $122,763 to $438,448. Similarly, Part D prescription costs have risen steadily, from $296,293 to $520,499. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $9,742 to $17,640.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	564	4,011	$122,763
2016	528	4,229	$145,405
2017	544	4,368	$145,612
2018	557	4,916	$151,775
2019	555	4,863	$147,305
2020	554	4,702	$138,847
2021	2,753	10,326	$314,767
2022	640	5,174	$165,508
2023	556	6,647	$189,661
2024	633	25,009	$438,448

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	455	6,159	$296,293
2016	469	6,736	$290,954
2017	475	7,078	$301,254
2018	508	7,444	$346,444
2019	507	7,622	$348,381
2020	576	7,989	$381,887
2021	562	7,817	$407,362
2022	575	8,333	$467,448
2023	681	8,364	$541,737
2024	654	8,445	$520,499

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	26	175	$8,752
2016	23	124	$3,799
2017	47	189	$3,681
2018	28	196	$4,790
2019	48	182	$4,634
2020	76	219	$13,407
2021	38	136	$6,901
2022	55	198	$10,355
2023	40	255	$18,390
2024	22	295	$16,438

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	323	323	$120
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	315	649	$80
80061	Blood test, lipids (cholesterol and triglycerides)	303	333	$13
80053	Blood test, comprehensive group of blood chemicals	294	319	$10
36415	Insertion of needle into vein for collection of blood sample	363	632	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	142	6,318	$120,376
Jardiance	Empagliflozin	78	3,294	$64,739
Xarelto	Rivaroxaban	46	3,041	$54,410
Ozempic	Semaglutide	27	1,194	$38,871
Mounjaro	Tirzepatide	13	420	$15,097

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	54	$4,363
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	11	$3,356
K0823	Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds	Y	N/R	12	$2,321
B4036	Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	N	N/R	11	$1,204
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	11	$979

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Kevin James Cunningham, M.D.?

Tedicare shows public-source Medicare data for Kevin James Cunningham, M.D. (NPI 1003809831), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Kevin James Cunningham, M.D. have ACO affiliation data?

Kevin James Cunningham, M.D. is shown with ACO affiliation data for Stratum Med ACO (MSSP, ACO ID A4527), Main Street Rural Health Willow ACO LLC (MSSP, ACO ID A5404), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Kevin James Cunningham, M.D.?

Kevin James Cunningham, M.D. is linked to THE IOWA CLINIC PC (billing NPI 1346233178) in the available physician profile data.

Does Kevin James Cunningham, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.