Cornerstone Pediatrics LLC

Cornerstone Pediatrics LLC was paid $209K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.

33Billing provider infoCORNERSTONE PEDIATRICS LLC
MIAMISBURG, OH 45342

33aNPI1033254222assigned 02/21/2007

33bProvider typePediatrics Physician

28Total paid$209K

24GClaims5,890

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in Ohio

Rank by total paid#109 of 401

Median peer was paid$30K

This provider vs. median7.1×

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

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

Year	Claims	Paid
2018	1,764	$58K
2019	1,135	$38K
2020	725	$25K
2021	564	$24K
2022	632	$25K
2023	733	$27K
2024incomplete	337	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	87%	4,640	4,330	$183K
90460	Immunization administration through 18 years of age via any route, first or only component	7.8%	580	556	$16K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	2.4%	84	80	$5K
90686		<1%	225	220	$1K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	118	109	$1K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	13	12	$1K
96127		<1%	205	187	$718.03
Q3014	Telehealth originating site facility fee	<1%	13	13	$283.35
96160		<1%	12	12	$9.87

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 officialEBERHART, GREGORY (MEDICAL DIRECTOR)