Physician
Cornerstone Family Medicine LLC
Cornerstone Family Medicine LLC was paid $621K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 70% of everything it billed.
33Billing provider infoCORNERSTONE FAMILY MEDICINE LLC
SPARTA, TN 38583
SPARTA, TN 38583
33aNPI1679503841assigned 07/04/2006
33bProvider typeFamily Medicine Physician
28Total paid$621K
24GClaims27,016
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Tennessee
Rank by total paid#89 of 754
Median peer was paid$34K
This provider vs. median18×
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 | 3,048 | $63K | |
| 2019 | 3,339 | $78K | |
| 2020 | 2,972 | $65K | |
| 2021 | 4,262 | $100K | |
| 2022 | 5,408 | $121K | |
| 2023 | 4,693 | $107K | |
| 2024incomplete | 3,294 | $88K |
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 | 70% | 12,342 | 10,548 | $436K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.9% | 2,314 | 1,116 | $43K |
| 87428 | 3.4% | 394 | 366 | $21K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.8% | 2,198 | 1,975 | $18K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.7% | 549 | 497 | $17K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.6% | 457 | 396 | $16K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.3% | 1,807 | 809 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 209 | 189 | $12K |
| 92551 | 1.3% | 1,333 | 1,195 | $8K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 120 | 114 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 114 | 99 | $7K |
| 99173 | <1% | 1,294 | 1,164 | $5K |
13 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 305 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 77 | $3K |
| 81003 | <1% | 2,231 | $3K | |
| 90686 | <1% | 254 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 15 | $894.87 |
| 90688 | <1% | 141 | $835.12 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 18 | $802.15 |
| 36415 | Collection of venous blood by venipuncture | <1% | 472 | $655.33 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 125 | $536.05 |
| 87807 | <1% | 49 | $391.15 | |
| 99490 | Ccm add 20min | <1% | 13 | $94.85 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 14 | $35.03 |
| 3725F | 0% | 171 | $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 officialGRIFFIN, CHAD (OWNER)