CORNERSTONE HEALTH CARE RESOURCES, LLC
NPI: 1295967131
· TAHLEQUAH, OK 74464
· Case Management Agency
· NPI assigned 08/11/2009
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1016 with only 1 total codes billed. Highly concentrated billing profile.
$5.43M
Total Medicaid Paid
Provider Details
| Authorized Official | ROUNTREE, KENT (ADMINISTRATOR) |
| NPI Enumeration Date | 08/11/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17,567 |
$492K |
| 2019 |
16,243 |
$577K |
| 2020 |
16,211 |
$698K |
| 2021 |
13,181 |
$643K |
| 2022 |
15,788 |
$779K |
| 2023 |
17,777 |
$1.02M |
| 2024 |
21,320 |
$1.22M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
118,087 |
24,907 |
$5.43M |