Physician
Northeast Cornerstone Pediatrics,pa
Northeast Cornerstone Pediatrics,pa was paid $4.52M by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoNORTHEAST CORNERSTONE PEDIATRICS,PA
EL PASO, TX 79924
EL PASO, TX 79924
33aNPI1578615704assigned 01/17/2007
33bProvider typePediatrics Physician
28Total paid$4.52M
24GClaims186,878
24DCodes billed72
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#95 of 1,136
Median peer was paid$329K
This provider vs. median14×
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 | 5,173 | $202K | |
| 2019 | 7,174 | $280K | |
| 2020 | 13,388 | $374K | |
| 2021 | 44,239 | $792K | |
| 2022 | 42,065 | $801K | |
| 2023 | 41,056 | $1.02M | |
| 2024incomplete | 33,783 | $1.05M |
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 | 21% | 23,992 | 21,933 | $960K |
| 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 | 13% | 10,843 | 10,090 | $572K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 6,613 | 6,547 | $504K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.5% | 6,043 | 5,957 | $431K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.8% | 5,363 | 5,285 | $398K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 8.0% | 29,821 | 14,495 | $360K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.6% | 4,411 | 4,248 | $345K |
| 90461 | 3.7% | 8,833 | 6,997 | $167K | |
| 99173 | 3.2% | 15,696 | 15,314 | $144K | |
| 99499 | 2.1% | 1,002 | 927 | $96K | |
| 99050 | 1.5% | 1,126 | 1,070 | $69K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 4,903 | 2,400 | $58K |
60 more codes
| 92551 | 1.1% | 14,822 | $52K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.1% | 1,610 | $50K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 648 | $45K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 5,373 | $44K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,315 | $41K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,808 | $32K |
| 99383 | <1% | 174 | $17K | |
| 36410 | <1% | 1,837 | $15K | |
| 99381 | <1% | 149 | $14K | |
| 90651 | <1% | 2,002 | $11K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 147 | $9K |
| 99429 | <1% | 340 | $8K | |
| 96127 | <1% | 1,881 | $8K | |
| 99384 | <1% | 80 | $8K | |
| 96160 | <1% | 4,432 | $8K | |
| 99382 | <1% | 80 | $7K | |
| 90671 | <1% | 1,203 | $6K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 89 | $5K |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | <1% | 215 | $5K |
| 99460 | <1% | 43 | $3K | |
| 99463 | <1% | 29 | $3K | |
| 83655 | <1% | 277 | $3K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 263 | $3K |
| 0071A | <1% | 90 | $2K | |
| 0072A | <1% | 55 | $2K | |
| 90697 | <1% | 1,081 | $2K | |
| 90688 | <1% | 2,181 | $1K | |
| 90686 | <1% | 2,781 | $1K | |
| 90620 | <1% | 1,091 | $963.25 | |
| 81002 | <1% | 492 | $950.13 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 94 | $924.38 |
| 94760 | <1% | 2,558 | $569.20 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 57 | $469.82 |
| 0081A | <1% | 15 | $440.00 | |
| 0082A | <1% | 12 | $400.00 | |
| 99000 | <1% | 65 | $258.94 | |
| 90670 | <1% | 2,433 | $221.83 | |
| 99080 | <1% | 28 | $140.00 | |
| 85018 | <1% | 108 | $135.44 | |
| 90715 | <1% | 907 | $99.16 | |
| 90648 | <1% | 1,499 | $71.16 | |
| 36416 | <1% | 659 | $4.50 | |
| 90680 | <1% | 2,123 | $4.13 | |
| 90633 | <1% | 2,007 | $3.71 | |
| 90734 | <1% | 1,815 | $2.86 | |
| 90710 | <1% | 1,195 | $1.92 | |
| 90700 | <1% | 1,081 | $1.66 | |
| 90696 | <1% | 884 | $1.52 | |
| 90723 | <1% | 481 | $1.26 | |
| 90698 | <1% | 620 | $1.05 | |
| 90707 | <1% | 533 | $0.82 | |
| 90716 | <1% | 546 | $0.78 | |
| 90621 | <1% | 290 | $0.45 | |
| 91307 | <1% | 177 | $0.39 | |
| 90661 | <1% | 198 | $0.35 | |
| 90713 | <1% | 107 | $0.18 | |
| 91308 | <1% | 54 | $0.16 | |
| 90744 | <1% | 66 | $0.13 | |
| 90685 | <1% | 12 | $0.11 | |
| 90656 | <1% | 20 | $0.03 |
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 officialAKINJAIYEJU, AKINTOLUWA (PRESIDENT)