Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Cornerstone Health Systems

Cornerstone Health Systems was paid $10.25M by Medicaid between Jan 2018 and Dec 2024, across 67 billing codes. Its largest line is B4161, Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit — 21% of everything it billed.

33Billing provider infoCORNERSTONE HEALTH SYSTEMS
HOHENWALD, TN 38462
33aNPI1316018070assigned 11/13/2006
28Total paid$10.25M
24GClaims133,041
24DCodes billed67
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Tennessee

Rank by total paid#8 of 296
Median peer was paid$15K
This provider vs. median664×

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

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
201820,240$1.95M
201920,788$1.52M
202020,752$1.51M
202116,804$1.30M
202218,011$1.38M
202321,649$1.55M
2024incomplete14,797$1.03M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
B4161 Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 21% 4,154 3,125 $2.18M
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 17% 10,195 8,099 $1.71M
B4160 Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 9.7% 6,095 5,106 $999K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 5.3% 10,339 9,265 $546K
E0329 Hospital bed, pediatric, electric or semi-electric, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress 4.9% 90 65 $501K
B4162 Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 4.7% 1,168 700 $485K
E0445 Oximeter device for measuring blood oxygen levels non-invasively 4.5% 4,687 4,325 $466K
B4158 Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit 3.2% 1,283 1,041 $326K
B9002 Enteral nutrition infusion pump, any type 2.3% 4,083 3,702 $231K
E0619 Apnea monitor, with recording feature 2.0% 987 930 $201K
T4541 Incontinence product, disposable underpad, large, each 1.9% 6,099 4,738 $191K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 1.8% 2,613 1,972 $186K
55 more codes
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 1.6% 2,963 $161K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 1.4% 2,207 $148K
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 1.4% 1,674 $139K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each 1.3% 1,699 $134K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 1.3% 1,790 $129K
B4150 Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 1.0% 1,098 $105K
A4624 Tracheal suction catheter, any type other than closed system, each 1.0% 1,214 $103K
T4544 Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each 1.0% 936 $103K
B4155 Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit <1% 1,384 $97K
E1399 Durable medical equipment, miscellaneous <1% 99 $95K
K0001 Standard wheelchair <1% 6,215 $92K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing <1% 7,038 $90K
B4149 Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit <1% 223 $57K
E1236 Wheelchair, pediatric size, folding, adjustable, with seating system <1% 538 $56K
E0600 Respiratory suction pump, home model, portable or stationary, electric <1% 2,782 $52K
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) <1% 5,856 $46K
A4606 Oxygen probe for use with oximeter device, replacement <1% 4,032 $46K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each <1% 592 $42K
E0570 Nebulizer, with compressor <1% 2,755 $42K
B4152 Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit <1% 505 $39K
E1392 Portable oxygen concentrator, rental <1% 2,204 $39K
A4628 Oral and/or oropharyngeal suction catheter, each <1% 3,596 $38K
A7000 Canister, disposable, used with suction pump, each <1% 4,354 $33K
T4524 Adult sized disposable incontinence product, brief/diaper, extra large, each <1% 406 $32K
E2611 General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware <1% 207 $29K
E1226 Wheelchair accessory, manual fully reclining back, (recline greater than 80 degrees), each <1% 1,018 $29K
E0776 Iv pole <1% 3,220 $29K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each <1% 483 $26K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each <1% 1,265 $24K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress <1% 1,516 $21K
A7526 Tracheostomy tube collar/holder, each <1% 405 $20K
A7002 Tubing, used with suction pump, each <1% 4,384 $16K
E2601 General use wheelchair seat cushion, width less than 22 inches, any depth <1% 445 $15K
B9998 Noc for enteral supplies <1% 959 $13K
A4217 Sterile water/saline, 500 ml <1% 402 $12K
A4629 Tracheostomy care kit for established tracheostomy <1% 142 $9K
T4525 Adult sized disposable incontinence product, protective underwear/pull-on, small size, each <1% 129 $9K
E2201 Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches <1% 267 $8K
A7509 Filter holder and integrated filter housing, and adhesive, for use as a tracheostoma heat and moisture exchange system, each <1% 309 $8K
A4927 Gloves, non-sterile, per 100 <1% 1,380 $7K
A4322 Irrigation syringe, bulb or piston, each <1% 390 $6K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 2,705 $6K
A4332 Lubricant, individual sterile packet, each <1% 1,049 $6K
E0971 Manual wheelchair accessory, anti-tipping device, each <1% 2,238 $6K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml <1% 176 $4K
B4082 Nasogastric tubing without stylet <1% 268 $3K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 253 $2K
A5120 Skin barrier, wipes or swabs, each <1% 304 $1K
A7015 Aerosol mask, used with dme nebulizer <1% 729 $661.42
A4357 Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each <1% 88 $542.11
E0163 Commode chair, mobile or stationary, with fixed arms <1% 17 $458.65
A4450 Tape, non-waterproof, per 18 square inches <1% 143 $213.81
A7525 Tracheostomy mask, each <1% 151 $145.78
A7012 Water collection device, used with large volume nebulizer <1% 12 $45.67
E2208 Wheelchair accessory, cylinder tank carrier, each 0% 34 $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 officialRAMEY, NICHOLAS (CEO)