Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Cornerstone Pediatrics

Cornerstone Pediatrics was paid $3.43M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.

33Billing provider infoCORNERSTONE PEDIATRICS
STAMFORD, CT 06905
33aNPI1629411012assigned 04/16/2013
33bProvider typePediatrics Physician
28Total paid$3.43M
24GClaims70,065
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Connecticut

Rank by total paid#23 of 162
Median peer was paid$313K
This provider vs. median11×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
201811,401$519K
201910,771$542K
20209,179$430K
202110,432$493K
202210,530$499K
20239,469$505K
2024incomplete8,283$437K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 48% 23,165 17,453 $1.66M
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 14% 4,704 3,887 $485K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.0% 2,287 2,215 $239K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.3% 2,037 1,947 $214K
90460 Immunization administration through 18 years of age via any route, first or only component 4.3% 3,484 3,328 $146K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.3% 1,155 1,035 $112K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.7% 799 773 $91K
96127 2.5% 3,928 3,745 $87K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2.3% 3,169 3,053 $78K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.9% 3,236 3,103 $64K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.8% 1,436 1,343 $60K
99401 1.5% 1,504 1,385 $51K
31 more codes
92552 1.4% 4,059 $49K
99174 <1% 1,801 $33K
99173 <1% 2,833 $20K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 706 $7K
D0145 Oral evaluation for a patient under three years of age <1% 479 $7K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 329 $6K
D1206 Topical application of fluoride varnish <1% 307 $5K
99188 <1% 227 $4K
36416 <1% 1,064 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 309 $3K
96161 <1% 436 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 147 $2K
85014 <1% 377 $772.92
94760 <1% 398 $632.46
86580 <1% 33 $200.32
90686 <1% 3,512 $20.08
85018 <1% 335 $2.26
90685 <1% 243 $0.01
90698 0% 137 $0.00
90674 0% 485 $0.00
90651 0% 14 $0.00
90723 0% 15 $0.00
90696 0% 12 $0.00
90648 0% 113 $0.00
90670 0% 612 $0.00
90633 0% 72 $0.00
90661 0% 40 $0.00
90671 0% 13 $0.00
90707 0% 14 $0.00
90700 0% 15 $0.00
90681 0% 24 $0.00

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 officialSABILE, STELLA (OWNER)