Physician
Cornerstone Pediatrics, P.C
Cornerstone Pediatrics, P.C was paid $3.87M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoCORNERSTONE PEDIATRICS, P.C
MADISON, AL 35758
MADISON, AL 35758
33aNPI1285679381assigned 06/20/2006
33bProvider typePediatrics Physician
28Total paid$3.87M
24GClaims84,077
24DCodes billed56
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Alabama
Rank by total paid#47 of 199
Median peer was paid$702K
This provider vs. median5.5×
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 | 9,692 | $442K | |
| 2019 | 10,125 | $441K | |
| 2020 | 7,752 | $357K | |
| 2021 | 15,593 | $728K | |
| 2022 | 16,427 | $773K | |
| 2023 | 14,872 | $656K | |
| 2024incomplete | 9,616 | $477K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 35% | 14,295 | 13,171 | $1.35M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 15,011 | 13,670 | $958K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.3% | 2,830 | 2,792 | $245K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.4% | 5,487 | 5,165 | $210K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.3% | 2,695 | 2,644 | $168K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.2% | 1,921 | 1,885 | $162K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 3.1% | 2,883 | 2,723 | $120K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.8% | 1,007 | 999 | $109K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.0% | 6,912 | 6,578 | $77K |
| 90461 | 1.9% | 1,466 | 1,444 | $74K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.7% | 855 | 837 | $65K |
| 99401 | 1.5% | 3,103 | 2,999 | $57K |
44 more codes
| 90670 | 1.4% | 537 | $53K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 5,614 | $43K |
| 90686 | <1% | 1,503 | $28K | |
| 87081 | <1% | 4,010 | $26K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,078 | $22K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 869 | $16K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 480 | $13K |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | <1% | 419 | $11K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 56 | $8K |
| 90698 | <1% | 204 | $7K | |
| 90716 | <1% | 82 | $7K | |
| 99177 | <1% | 395 | $7K | |
| 90680 | <1% | 195 | $6K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 174 | $4K |
| 90707 | <1% | 69 | $3K | |
| 87634 | <1% | 70 | $3K | |
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 245 | $3K |
| 90633 | <1% | 73 | $2K | |
| 90656 | <1% | 89 | $2K | |
| 90700 | <1% | 78 | $2K | |
| 90744 | <1% | 88 | $2K | |
| 0072A | <1% | 47 | $2K | |
| 90685 | <1% | 69 | $1K | |
| 87807 | <1% | 121 | $1K | |
| 90734 | <1% | 12 | $1K | |
| 92551 | <1% | 66 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $949.00 |
| 0002A | <1% | 24 | $750.95 | |
| 96127 | <1% | 120 | $643.11 | |
| 0001A | <1% | 36 | $599.74 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $466.15 |
| 90648 | <1% | 25 | $370.86 | |
| 0071A | <1% | 20 | $332.04 | |
| 99173 | <1% | 62 | $290.00 | |
| 90715 | <1% | 14 | $265.76 | |
| 36416 | <1% | 134 | $219.15 | |
| 99050 | <1% | 17 | $167.44 | |
| 81003 | <1% | 48 | $101.20 | |
| 85018 | <1% | 68 | $62.92 | |
| 99080 | <1% | 8,028 | $0.01 | |
| 91307 | 0% | 69 | $0.00 | |
| 1111F | 0% | 14 | $0.00 | |
| 91300 | 0% | 115 | $0.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 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 officialDENNY, KEVIN (PRESIDENT)