Cornerstone Ear Nose & Throat PA
Cornerstone Ear Nose & Throat PA was paid $461K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoCORNERSTONE EAR NOSE & THROAT PA
MONROE, NC 28112
MONROE, NC 28112
33aNPI1538171871assigned 08/13/2006
33bProvider typeSpecialist
28Total paid$461K
24GClaims12,016
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in North Carolina
Rank by total paid#51 of 172
Median peer was paid$83K
This provider vs. median5.6×
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 | 3,604 | $138K | |
| 2019 | 2,994 | $130K | |
| 2020 | 1,083 | $36K | |
| 2021 | 648 | $24K | |
| 2022 | 1,000 | $35K | |
| 2023 | 1,350 | $58K | |
| 2024incomplete | 1,337 | $40K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 4,428 | 3,550 | $187K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 27% | 1,899 | 1,500 | $125K |
| 92586 | 11% | 1,151 | 1,077 | $52K | |
| 92567 | 7.3% | 2,984 | 2,623 | $34K | |
| 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 | 6.3% | 430 | 376 | $29K |
| 92557 | 4.1% | 664 | 615 | $19K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 219 | 162 | $5K |
| 92588 | 1.1% | 118 | 113 | $5K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 108 | 66 | $4K |
| 99441 | <1% | 15 | 15 | $390.00 |
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 officialHELMS, TERESA (PRACTICE ADMINISTRATOR)