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.
JAMESTOWN, KY 42629
Next to other Clinical Medical Laboratory providers in Kentucky
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 79,960 | $1.54M | |
| 2019 | 48,228 | $1.40M | |
| 2020 | 32,335 | $918K | |
| 2021 | 32,022 | $1.26M | |
| 2022 | 31,065 | $1.22M | |
| 2023 | 45,630 | $1.43M | |
| 2024incomplete | 28,769 | $1.17M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Crescent City Surgical Centre Diagnostics, LLC | Metairie, LA | $22K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.