Physician
Cornerstone Medical Assoc., LLC
Cornerstone Medical Assoc., LLC was paid $13.94M by Medicaid between Jan 2018 and Dec 2024, across 101 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoCORNERSTONE MEDICAL ASSOC., LLC
PERRY, GA 31069
PERRY, GA 31069
33aNPI1275575888assigned 06/11/2006
33bProvider typePediatrics Physician
28Total paid$13.94M
24GClaims428,340
24DCodes billed101
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#5 of 220
Median peer was paid$57K
This provider vs. median243×
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 | 62,721 | $2.30M | |
| 2019 | 62,013 | $2.08M | |
| 2020 | 54,035 | $1.30M | |
| 2021 | 64,034 | $1.98M | |
| 2022 | 72,163 | $2.54M | |
| 2023 | 67,846 | $2.23M | |
| 2024incomplete | 45,528 | $1.51M |
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 | 40% | 90,831 | 80,845 | $5.52M |
| 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 | 12% | 18,251 | 16,756 | $1.63M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.8% | 13,404 | 11,329 | $1.09M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.5% | 27,658 | 24,918 | $1.05M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.5% | 12,047 | 10,872 | $1.04M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.9% | 7,676 | 7,009 | $683K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.4% | 17,275 | 15,102 | $617K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 5,361 | 4,871 | $524K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.9% | 29,307 | 27,817 | $410K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.8% | 13,677 | 8,575 | $250K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.5% | 6,116 | 5,748 | $203K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 2,096 | 2,009 | $139K |
89 more codes
| 99460 | <1% | 1,449 | $120K | |
| 97802 | <1% | 39,760 | $110K | |
| 96127 | <1% | 28,229 | $92K | |
| 99051 | <1% | 4,826 | $91K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,040 | $42K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,613 | $39K |
| 99462 | <1% | 877 | $34K | |
| 80305 | <1% | 3,688 | $27K | |
| 97803 | <1% | 1,643 | $24K | |
| 96160 | <1% | 7,388 | $23K | |
| 99050 | <1% | 1,759 | $18K | |
| 87807 | <1% | 1,204 | $17K | |
| 80061 | Lipid panel | <1% | 1,196 | $15K |
| 96161 | <1% | 5,362 | $15K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,284 | $14K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 22,868 | $13K |
| 87428 | <1% | 193 | $12K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,313 | $12K |
| 92551 | <1% | 4,139 | $8K | |
| 94760 | <1% | 1,732 | $8K | |
| 86308 | <1% | 960 | $6K | |
| 54150 | <1% | 54 | $5K | |
| 2014F | <1% | 4,124 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 24 | $3K |
| 99173 | <1% | 8,538 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 188 | $3K |
| 85018 | <1% | 1,198 | $3K | |
| 90674 | <1% | 181 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 109 | $2K |
| 83655 | <1% | 813 | $2K | |
| 93000 | <1% | 115 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 22 | $1K |
| 99188 | <1% | 71 | $1K | |
| 90670 | <1% | 5,986 | $1K | |
| 74019 | <1% | 30 | $872.09 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 46 | $840.09 |
| 87430 | <1% | 55 | $732.61 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 123 | $713.00 |
| 87400 | <1% | 31 | $628.78 | |
| 99490 | Ccm add 20min | <1% | 83 | $467.53 |
| 95923 | <1% | 19 | $459.36 | |
| 90651 | <1% | 934 | $443.04 | |
| 93922 | <1% | 17 | $344.08 | |
| 99406 | <1% | 61 | $313.37 | |
| 81003 | <1% | 138 | $298.95 | |
| 95921 | <1% | 19 | $269.94 | |
| 82570 | <1% | 45 | $142.13 | |
| 3078F | <1% | 435 | $110.15 | |
| 82044 | <1% | 28 | $84.63 | |
| 90633 | <1% | 2,247 | $84.22 | |
| 90680 | <1% | 4,061 | $70.55 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 47 | $53.09 |
| 81000 | <1% | 18 | $34.57 | |
| 3074F | <1% | 451 | $25.07 | |
| 90671 | <1% | 1,210 | $21.93 | |
| 3077F | <1% | 68 | $20.06 | |
| 3085F | <1% | 30 | $20.00 | |
| 90710 | <1% | 1,635 | $19.97 | |
| 81001 | <1% | 12 | $11.97 | |
| 90744 | <1% | 1,329 | $4.82 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 100 | $4.05 |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 29 | $1.70 |
| 3080F | <1% | 13 | $0.03 | |
| 3075F | <1% | 34 | $0.02 | |
| 3044F | <1% | 118 | $0.02 | |
| 3079F | <1% | 122 | $0.01 | |
| 1159F | 0% | 151 | $0.00 | |
| 90648 | 0% | 59 | $0.00 | |
| 90685 | 0% | 210 | $0.00 | |
| 90734 | 0% | 475 | $0.00 | |
| 1160F | 0% | 382 | $0.00 | |
| 90715 | 0% | 240 | $0.00 | |
| 90686 | 0% | 4,657 | $0.00 | |
| 90698 | 0% | 4,710 | $0.00 | |
| 3011F | 0% | 165 | $0.00 | |
| 3008F | 0% | 1,000 | $0.00 | |
| 90619 | 0% | 379 | $0.00 | |
| 90697 | 0% | 707 | $0.00 | |
| 90696 | 0% | 245 | $0.00 | |
| 2001F | 0% | 139 | $0.00 | |
| 90620 | 0% | 119 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 32 | $0.00 |
| 3048F | 0% | 29 | $0.00 | |
| 2000F | 0% | 183 | $0.00 | |
| 2010F | 0% | 164 | $0.00 | |
| 90656 | 0% | 16 | $0.00 | |
| 90716 | 0% | 13 | $0.00 | |
| 90723 | 0% | 13 | $0.00 | |
| 36416 | 0% | 19 | $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 officialSTEWART, LARRY (PHYSICIAN)