Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CORNERSTONE HEALTH CARE LLC

NPI: 1558493825 · HIGH POINT, NC 27262 · Internal Medicine Physician · NPI assigned 03/12/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official HILL, ANNE controls 15+ related entities in our dataset. Read more

$215K
Total Medicaid Paid
8,448
Total Claims
6,960
Beneficiaries
27
Codes Billed
2018-01
First Month
2022-06
Last Month

Provider Details

Authorized OfficialHILL, ANNE (BUSINESS OPERATIONS OFFICER)
NPI Enumeration Date03/12/2007

Related Entities

Other providers sharing the same authorized official: HILL, ANNE

ProviderCityStateTotal Paid
GASTROENTEROLOGY ASSOCIATES OF THE PIEDMONT, P.A. WINSTON SALEM NC $505K
GASTROENTEROLOGY ASSOCIATES OF THE PIEDMONT, P.A. WINSTON SALEM NC $212K
CORNERSTONE HEALTH CARE LLC KERNERSVILLE NC $156K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,614 $204K
2021 389 $3K
2022 1,445 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,518 1,417 $77K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 586 510 $44K
90472 Immunization administration, each additional vaccine (list separately) 408 382 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 901 879 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 615 570 $12K
99199 Unlisted special service, procedure or report 1,834 924 $12K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 128 124 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 113 106 $8K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 92 84 $7K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 370 231 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 64 54 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 451 408 $4K
D0145 Oral evaluation for a patient under three years of age 96 91 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 47 44 $1K
D1206 Topical application of fluoride varnish 96 91 $1K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 107 85 $890.94
96127 70 66 $267.75
90474 13 13 $265.85
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 17 17 $173.06
90686 78 73 $67.86
92551 389 360 $11.02
99173 349 326 $3.00
90723 13 13 $0.00
90680 13 13 $0.00
90670 55 54 $0.00
90715 13 13 $0.00
90734 12 12 $0.00