Physician
Cornerstone Family Medicine, INC.
Cornerstone Family Medicine, INC. was paid $21K by Medicaid between Jan 2018 and Dec 2018, across 3 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoCORNERSTONE FAMILY MEDICINE, INC.
GARDNER, MA 01440
GARDNER, MA 01440
33aNPI1619966421assigned 10/14/2005
33bProvider typeFamily Medicine Physician
28Total paid$21K
24GClaims492
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Family Medicine Physician providers in Massachusetts
Rank by total paid#301 of 744
Median peer was paid$10K
This provider vs. median2.0×
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 | 492 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 60% | 252 | 239 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 212 | 186 | $8K |
| 81002 | <1% | 28 | 27 | $45.66 |
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 officialPARKER, MICHELE (PRESIDENT)