Cornerstone Health Care LLC
Cornerstone Health Care LLC was paid $156K by Medicaid between Jan 2018 and Oct 2020, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
KERNERSVILLE, NC 27284
Next to other Pediatrics Physician providers in North Carolina
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,713 | $59K | |
| 2019 | 1,653 | $68K | |
| 2020 | 1,031 | $29K |
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 | 44% | 800 | 751 | $69K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 938 | 846 | $56K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 8.6% | 695 | 658 | $13K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 42 | 39 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.1% | 96 | 91 | $3K |
| 96127 | 1.7% | 641 | 619 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 29 | 27 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 189 | 183 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 126 | 61 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 19 | 17 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 66 | 65 | $883.71 |
| 90686 | <1% | 300 | 293 | $710.14 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Gastroenterology Associates of the Piedmont, P.A. | Winston Salem, NC | $505K |
| Cornerstone Health Care LLC | High Point, NC | $215K |
| Gastroenterology Associates of the Piedmont, P.A. | Winston Salem, NC | $212K |
| Gastroenterology Associates of the Piedmont, P.A. | Winston-salem, NC | $55K |
| Cornerstone Health Care, LLC | Asheboro, NC | $52K |
| Cornerstone Health Care, LLC | High Point, NC | $30K |
| Cornerstone Health Care LLC | High Point, NC | $26K |
| Cornerstone Health Care, LLC | High Point, NC | $16K |
| Cornerstone Health Care, LLC | High Point, NC | $3K |
| Cornerstone Health Care LLC | High Point, NC | $2K |
| Cornerstone Health Care, LLC | Claremont, NC | $2K |
| Cornerstone Health Care LLC | Asheboro, NC | $621.92 |
| Cornerstone Health Care, LLC | Thomasville, NC | $596.15 |
| Cornerstone Health Care, LLC | Reidsville, NC | $397.60 |
| Cornerstone Health Care, LLC | High Point, NC | $30.47 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.