Physician
Cornerstone Pediatrics and Family Allergy, PLC
Cornerstone Pediatrics and Family Allergy, PLC was paid $145K by Medicaid between Oct 2019 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoCORNERSTONE PEDIATRICS AND FAMILY ALLERGY, PLC
WEST DES MONIES, IA 50266
WEST DES MONIES, IA 50266
33aNPI1598325151assigned 06/17/2019
33bProvider typePediatrics Physician
28Total paid$145K
24GClaims5,127
24DCodes billed15
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Iowa
Rank by total paid#11 of 42
Median peer was paid$47K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2019 | 190 | $1K | |
| 2020 | 261 | $5K | |
| 2021 | 690 | $16K | |
| 2022 | 1,130 | $34K | |
| 2023 | 1,592 | $43K | |
| 2024incomplete | 1,264 | $47K |
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 | 35% | 1,885 | 1,435 | $50K |
| 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 | 30% | 1,033 | 803 | $44K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 13% | 410 | 359 | $19K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 7.4% | 116 | 104 | $11K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.3% | 234 | 203 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.4% | 86 | 80 | $5K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 46 | 42 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.9% | 343 | 298 | $3K |
| 90686 | <1% | 202 | 177 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | 12 | $744.66 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 63 | 43 | $477.29 |
| 99000 | <1% | 216 | 174 | $219.23 |
3 more codes
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 officialFEDERLY, TARA (OWNER/PHYSICIAN)