Cornerstone Regional Hospital, LP
Cornerstone Regional Hospital, LP was paid $6K by Medicaid between Mar 2021 and Aug 2023, across 13 billing codes. Its largest line is G0378, Hospital observation service, per hour — 75% of everything it billed.
EDINBURG, TX 78539
Next to other Ambulatory Surgical Clinic/Center providers in Texas
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 | |
|---|---|---|---|
| 2021 | 188 | $150.26 | |
| 2022 | 524 | $6K | |
| 2023 | 109 | $75.18 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0378 | Hospital observation service, per hour | 75% | 13 | 12 | $5K |
| 97162 | 11% | 13 | 12 | $668.50 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4.3% | 28 | 28 | $257.40 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 2.9% | 162 | 140 | $175.98 |
| 80053 | Comprehensive metabolic panel | 2.2% | 55 | 54 | $133.34 |
| 87641 | 1.8% | 13 | 12 | $110.42 | |
| 85730 | 1.2% | 51 | 49 | $73.02 | |
| 85610 | 1.2% | 64 | 61 | $71.57 | |
| C1776 | Joint device (implantable) | <1% | 12 | 12 | $39.72 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 13 | 12 | $12.77 |
| C1713 | Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) | 0% | 14 | 13 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 370 | 241 | $0.00 |
1 more codes
| G0379 | Direct admission of patient for hospital observation care | 0% | 13 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| District Hospital Partners L P | Washington, DC | $136.25M |
| Mcallen Hospitals L P | Edinburg, TX | $124.61M |
| Lancaster Hospital Corporation | Palmdale, CA | $108.63M |
| Universal Health Services of Rancho Springs INC | Murrieta, CA | $61.95M |
| Doctors Hospital of Laredo | Laredo, TX | $52.31M |
| Valley Hospital Medical Center | Las Vegas, NV | $47.03M |
| Northwest Texas Healthcare System INC | Amarillo, TX | $44.81M |
| Uhs of Bowling Green LLC | Bowling Green, KY | $41.21M |
| Uhs-Corona INC | Corona, CA | $35.18M |
| Spring Valley Medical Center | Las Vegas, NV | $33.58M |
| Aiken Regional Medical Centers LLC | Aiken, SC | $31.51M |
| Summerlin Hospital Medical Center L L C | Las Vegas, NV | $30.26M |
| Manatee Memorial Hospital L P | Bradenton, FL | $22.33M |
| Desert Springs Hospital | Las Vegas, NV | $22.29M |
| Fort Duncan Medical Center LP | Eagle Pass, TX | $15.80M |
| Psi Pride Institute INC | Eden Prairie, MN | $15.57M |
| Uhs of Fuller INC | S Attleboro, MA | $13.47M |
| Uhs of Texoma, INC | Denison, TX | $12.51M |
| Arbour INC | Boston, MA | $12.36M |
| Wellington Regional Medical Center LLC | Wellington, FL | $10.75M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.