Payment overview · 2025
General Payments
$1,963.49
45 reported records · 17 companies
Healthcare provider profile · identity verified
Michelle Keith Cunningham, M.D.
Allopathic & Osteopathic Physicians|Internal Medicine · SHENANDOAH, TX · NPI 1700969219
Verified facts
What the public records show
CMS Open Payments records show Michelle Keith Cunningham, M.D. received $1,963.49 in general payments during 2025 across 45 reported records.
Smith+Nephew, Inc. accounted for 19.1% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 25 associated products.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Smith+Nephew, Inc. | Unresolved — no canonical attribution shown | $375.66 | 19.1% | 18 | 2025 |
| Abbott Laboratories | Unresolved — no canonical attribution shown | $223.63 | 11.4% | 3 | 2025 |
| Reapplix Inc. | Unresolved — no canonical attribution shown | $196.66 | 10.0% | 1 | 2025 |
| Urgo Medical North America, LLC | Unresolved — no canonical attribution shown | $191.16 | 9.7% | 3 | 2025 |
| Medtronic, Inc. |
Medtronic, Inc. exact · evidence 2025-07-22 |
$146.40 | 7.5% | 1 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $120.60 | 6.1% | 1 | 2025 |
| BSN Medical Inc | Unresolved — no canonical attribution shown | $109.41 | 5.6% | 1 | 2025 |
| E.R. Squibb & Sons, L.L.C. | Unresolved — no canonical attribution shown | $108.79 | 5.5% | 1 | 2025 |
| ABIOMED | Unresolved — no canonical attribution shown | $102.29 | 5.2% | 1 | 2025 |
| Tactile Systems Technology Inc | Unresolved — no canonical attribution shown | $81.13 | 4.1% | 3 | 2025 |
| Paratek Pharmaceuticals, Inc. | Unresolved — no canonical attribution shown | $79.48 | 4.0% | 4 | 2025 |
| BIOTISSUE HOLDINGS INC. | Unresolved — no canonical attribution shown | $67.24 | 3.4% | 3 | 2025 |
| LEO Pharma Inc. | Unresolved — no canonical attribution shown | $62.95 | 3.2% | 1 | 2025 |
| Organogenesis Inc. | Unresolved — no canonical attribution shown | $31.68 | 1.6% | 1 | 2025 |
| COLOPLAST CORP | Unresolved — no canonical attribution shown | $26.92 | 1.4% | 1 | 2025 |
| VERTEX PHARMACEUTICALS INCORPORATED | Unresolved — no canonical attribution shown | $25.73 | 1.3% | 1 | 2025 |
| CashFlow Solutions, LLC | Unresolved — no canonical attribution shown | $13.76 | 0.7% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Food and Beverage | $1,963.49 | 45 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| 3C Patch Kit - Box Normalized: 3c patch kit box |
Device | Reapplix Inc. | $196.66 | 1 | 2025 |
Source payment records
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| URGOCLEAN AG Normalized: urgoclean ag |
Device | Urgo Medical North America, LLC | $169.12 | 2 | 2025 |
Source payment records
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| STRAVIX Normalized: stravix |
Biological | Smith+Nephew, Inc. | $147.58 | 5 | 2025 |
Source payment records
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| LINQ II Normalized: linq ii |
Device | Medtronic, Inc. | $146.40 | 1 | 2025 |
Source payment records
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| CARDIOMEMS Normalized: cardiomems |
Device | Abbott Laboratories | $124.74 | 2 | 2025 |
Source payment records
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| Repatha Normalized: repatha |
Biological | Amgen Inc. | $120.60 | 1 | 2025 |
Source payment records
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| CUTIMED Normalized: cutimed |
Device | BSN Medical Inc | $109.41 | 1 | 2025 |
Source payment records
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| CAMZYOS Normalized: camzyos |
Drug | E.R. Squibb & Sons, L.L.C. | $108.79 | 1 | 2025 |
Source payment records
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| AMPLATZER AMULET Normalized: amplatzer amulet |
Device | Abbott Laboratories | $98.89 | 1 | 2025 |
Source payment records
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| GRAFIX PL Normalized: grafix pl |
Biological | Smith+Nephew, Inc. | $94.01 | 6 | 2025 |
Source payment records
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| Flexitouch Plus Normalized: flexitouch plus |
Device | Tactile Systems Technology Inc | $81.13 | 3 | 2025 |
Source payment records
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| Nimbl Normalized: nimbl |
Device | Tactile Systems Technology Inc | $81.13 | 3 | 2025 |
Source payment records
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| NUZYRA Normalized: nuzyra |
Drug | Paratek Pharmaceuticals, Inc. | $79.48 | 4 | 2025 |
Source payment records
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| SPEVIGO Normalized: spevigo |
Biological | LEO Pharma Inc. | $62.95 | 1 | 2025 |
Source payment records
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| RENASYS TOUCH Normalized: renasys touch |
Device | Smith+Nephew, Inc. | $60.44 | 3 | 2025 |
Source payment records
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| COLLAGENASE SANTYL Normalized: collagenase santyl |
Drug | Smith+Nephew, Inc. | $44.11 | 3 | 2025 |
Source payment records
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| CYGNUS DUAL Normalized: cygnus dual |
Medical Supply | Organogenesis Inc. | $31.68 | 1 | 2025 |
Source payment records
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| PICO 7 Normalized: pico 7 |
Device | Smith+Nephew, Inc. | $29.52 | 1 | 2025 |
Source payment records
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| Biatain Ag Non-Adhesive Normalized: biatain ag non adhesive |
Device | COLOPLAST CORP | $26.92 | 1 | 2025 |
Source payment records
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| JOURNAVX Normalized: journavx |
Drug | VERTEX PHARMACEUTICALS INCORPORATED | $25.73 | 1 | 2025 |
Source payment records
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| URGOK2 Normalized: urgok2 |
Device | Urgo Medical North America, LLC | $22.04 | 1 | 2025 |
Source payment records
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| LYMPHA PRESS OPTIMAL PLUS(US) BT Normalized: lympha press optimal plus us bt |
Device | CashFlow Solutions, LLC | $13.76 | 1 | 2025 |
Source payment records
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| PCD-51 731A (US) - White Normalized: pcd 51 731a us white |
Device | CashFlow Solutions, LLC | $13.76 | 1 | 2025 |
Source payment records
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| PCD-52 737A (US) White Normalized: pcd 52 737a us white |
Device | CashFlow Solutions, LLC | $13.76 | 1 | 2025 |
Source payment records
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| REGRANEX Normalized: regranex |
Drug | Smith+Nephew, Inc. | $7.57 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
No exact normalized or approved-alias overlap was found in the loaded Part D year. This does not mean the doctor never prescribed the product.
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
No publishable same-company prescribing overlap was found in the loaded Part D year. This does not mean the doctor never prescribed a drug reported elsewhere by a paying company.
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Gentamicin Sulfate | Gentamicin Sulfate | 39 | 22 |
| Mupirocin | Mupirocin | 18 | 16 |
| Tobramycin | Tobramycin | 17 | suppressed |
| Doxycycline Monohydrate | Doxycycline Monohydrate | 12 | 11 |
| Minocycline Hcl | Minocycline Hcl | 12 | suppressed |
| Triamcinolone Acetonide | Triamcinolone Acetonide | 12 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $1,963.49 · 45 records | Smith+Nephew, Inc. | 3C Patch Kit - Box, AMPLATZER AMULET, Biatain Ag Non-Adhesive, CAMZYOS, CARDIOMEMS, COLLAGENASE SANTYL, CUTIMED, CYGNUS DUAL, Flexitouch Plus, GRAFIX PL, JOURNAVX, LINQ II, LYMPHA PRESS OPTIMAL PLUS(US) BT, NUZYRA, Nimbl, PCD-51 731A (US) - White, PCD-52 737A (US) White, PICO 7, REGRANEX, RENASYS TOUCH, Repatha, SPEVIGO, STRAVIX, URGOCLEAN AG, URGOK2 | — | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error