Physician
Cornerstone Family Medicine, PLLC
Cornerstone Family Medicine, PLLC was paid $265K by Medicaid between Jul 2018 and Mar 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoCORNERSTONE FAMILY MEDICINE, PLLC
COMANCHE, TX 76442
COMANCHE, TX 76442
33aNPI1124557319assigned 06/09/2017
33bProvider typeFamily Medicine Physician
28Total paid$265K
24GClaims7,868
24DCodes billed23
24AFirst – last monthJul 2018 – Mar 2024
Compared with peers
Next to other Family Medicine Physician providers in Texas
Rank by total paid#247 of 1,204
Median peer was paid$31K
This provider vs. median8.6×
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 | 32 | $77.51 | |
| 2019 | 12 | $1K | |
| 2020 | 184 | $4K | |
| 2021 | 2,122 | $59K | |
| 2022 | 2,479 | $67K | |
| 2023 | 2,627 | $94K | |
| 2024incomplete | 412 | $40K |
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 | 43% | 3,395 | 2,794 | $113K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 29% | 802 | 691 | $78K |
| 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 | 8.1% | 543 | 490 | $21K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.0% | 278 | 253 | $13K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 2.8% | 203 | 194 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.7% | 539 | 504 | $7K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.3% | 90 | 87 | $6K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.8% | 385 | 356 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 614 | 327 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 193 | 126 | $2K |
| 99000 | <1% | 174 | 159 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 38 | 38 | $2K |
11 more codes
| 87428 | <1% | 24 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 50 | $558.01 |
| 87807 | <1% | 55 | $528.00 | |
| 90461 | <1% | 64 | $402.12 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 63 | $358.75 |
| 90688 | <1% | 19 | $323.82 | |
| 90686 | <1% | 89 | $300.02 | |
| 81002 | <1% | 53 | $131.40 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 16 | $100.38 |
| 99307 | <1% | 32 | $53.20 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 149 | $0.00 |
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 officialGRAY, MOLLY (OWNER PHYSICIAN)