Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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CORNERSTONE COORDINATED HEALTH CARE, LLC

NPI: 1174176796 · ASHLAND, PA 17921 · Rural Health Clinic/Center · NPI assigned 07/23/2019

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code T1015 with only 2 total codes billed. Highly concentrated billing profile.

$1.67M
Total Medicaid Paid
7,082
Total Claims
4,622
Beneficiaries
2
Codes Billed
2020-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGREENFIELD, JAMES (OWNER)
NPI Enumeration Date07/23/2019

Related Entities

Other providers sharing the same authorized official: GREENFIELD, JAMES

ProviderCityStateTotal Paid
CORNERSTONE COORDINATED HEALTH CARE, LLC FRACKVILLE PA $3.94M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,277 $337K
2021 1,461 $392K
2022 1,163 $245K
2023 1,109 $237K
2024 2,072 $459K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 7,006 4,551 $1.67M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 76 71 $0.00