Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Cornerstone Diagnostics INC

Cornerstone Diagnostics INC was paid $8.94M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is G0480, Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed — 44% of everything it billed.

33Billing provider infoCORNERSTONE DIAGNOSTICS INC
JAMESTOWN, KY 42629
33aNPI1023306347assigned 07/20/2011
28Total paid$8.94M
24GClaims298,009
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Kentucky

Rank by total paid#12 of 73
Median peer was paid$95K
This provider vs. median94×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201879,960$1.54M
201948,228$1.40M
202032,335$918K
202132,022$1.26M
202231,065$1.22M
202345,630$1.43M
2024incomplete28,769$1.17M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 44% 118,442 74,135 $3.96M
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 36% 61,512 32,454 $3.19M
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 16% 82,802 52,827 $1.44M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1.6% 3,069 2,601 $140K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 <1% 2,392 1,984 $34K
87522 Neg quan hep c or qual rna <1% 807 578 $14K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,386 991 $13K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,240 942 $13K
80050 General health panel <1% 494 415 $11K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 642 481 $9K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 642 480 $9K
82607 <1% 1,211 896 $7K
49 more codes
80061 Lipid panel <1% 1,231 $7K
84443 Thyroid stimulating hormone (TSH) <1% 987 $6K
80053 Comprehensive metabolic panel <1% 1,356 $5K
80074 <1% 470 $5K
80372 <1% 460 $5K
86803 <1% 778 $4K
83992 <1% 465 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,400 $4K
36415 Collection of venous blood by venipuncture <1% 1,632 $4K
86704 <1% 671 $4K
86706 <1% 738 $3K
82746 <1% 575 $3K
86708 <1% 493 $3K
83036 Hemoglobin; glycosylated (A1C) <1% 949 $3K
87340 <1% 596 $3K
80355 <1% 481 $2K
80361 <1% 490 $2K
80365 <1% 489 $2K
80373 <1% 486 $2K
80354 <1% 486 $2K
80356 <1% 490 $2K
80346 <1% 473 $2K
80348 <1% 478 $2K
80368 <1% 472 $2K
80358 <1% 486 $2K
80349 <1% 467 $2K
80359 <1% 461 $2K
80353 <1% 461 $2K
80345 <1% 461 $2K
80360 <1% 461 $2K
80369 <1% 463 $2K
80366 <1% 463 $2K
81025 <1% 532 $2K
80324 <1% 456 $2K
84403 <1% 145 $2K
G0472 Hepatitis c antibody screening, for individual at high risk and other covered indication(s) <1% 58 $1K
84481 <1% 131 $1K
86592 <1% 523 $801.50
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 37 $624.24
G0499 Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result <1% 41 $522.80
86709 <1% 123 $518.30
86780 <1% 87 $476.36
84439 <1% 96 $453.04
86705 <1% 98 $427.53
80048 Basic metabolic panel (calcium, ionized) <1% 76 $201.28
82728 <1% 19 $106.75
84702 <1% 23 $97.86
85027 <1% 35 $63.23
80076 <1% 21 $53.31

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBOUCHILLON, WILLIAM (CEO)
Same official

Other billing entities under BOUCHILLON, WILLIAM

Full network →
ProviderLocationPaid
Crescent City Surgical Centre Diagnostics, LLCMetairie, LA$22K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.