Clinic
Cornerstone Pediatrics, P.C.
Cornerstone Pediatrics, P.C. was paid $1.76M by Medicaid between Jan 2018 and Aug 2024, across 59 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoCORNERSTONE PEDIATRICS, P.C.
PRESCOTT VALLEY, AZ 86314
PRESCOTT VALLEY, AZ 86314
33aNPI1679851455assigned 07/28/2011
33bProvider typePrimary Care Clinic/Center
28Total paid$1.76M
24GClaims44,840
24DCodes billed59
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Arizona
Rank by total paid#24 of 104
Median peer was paid$181K
This provider vs. median9.7×
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 | 12,178 | $367K | |
| 2019 | 9,432 | $335K | |
| 2020 | 6,604 | $234K | |
| 2021 | 6,235 | $253K | |
| 2022 | 5,144 | $284K | |
| 2023 | 4,426 | $230K | |
| 2024incomplete | 821 | $53K |
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 | 26% | 6,840 | 6,276 | $465K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 7,046 | 6,501 | $324K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 4,289 | 4,044 | $290K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 2,698 | 2,616 | $192K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.0% | 1,448 | 1,421 | $106K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.3% | 2,745 | 2,484 | $93K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.4% | 2,032 | 1,885 | $78K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.6% | 1,986 | 1,825 | $46K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.6% | 4,930 | 3,462 | $45K |
| 40819 | 1.9% | 163 | 111 | $33K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 415 | 399 | $32K |
| 41010 | <1% | 114 | 99 | $11K |
47 more codes
| 41115 | <1% | 63 | $8K | |
| 90474 | <1% | 305 | $4K | |
| 99383 | <1% | 45 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 279 | $3K |
| 99460 | <1% | 52 | $3K | |
| 92551 | <1% | 580 | $3K | |
| 90461 | <1% | 456 | $3K | |
| 99382 | <1% | 32 | $2K | |
| 99381 | <1% | 17 | $1K | |
| 87428 | <1% | 26 | $1K | |
| 92526 | <1% | 17 | $1K | |
| 90473 | <1% | 100 | $1K | |
| 99173 | <1% | 735 | $816.72 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 68 | $767.64 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | $751.92 |
| 99188 | <1% | 51 | $689.93 | |
| 96160 | <1% | 211 | $620.39 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $513.37 |
| 81002 | <1% | 179 | $474.62 | |
| 96161 | <1% | 162 | $456.37 | |
| 99000 | <1% | 251 | $261.70 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 76 | $233.40 |
| 90670 | <1% | 1,538 | $183.01 | |
| 92567 | <1% | 16 | $140.40 | |
| 83655 | <1% | 16 | $80.60 | |
| 90671 | <1% | 108 | $57.54 | |
| 82465 | <1% | 14 | $46.80 | |
| 90698 | <1% | 1,377 | $35.51 | |
| 85018 | <1% | 16 | $22.64 | |
| 36416 | <1% | 106 | $7.00 | |
| 90680 | <1% | 855 | $0.38 | |
| 90655 | 0% | 213 | $0.00 | |
| 90685 | 0% | 114 | $0.00 | |
| 90707 | 0% | 94 | $0.00 | |
| 90633 | 0% | 431 | $0.00 | |
| 90734 | 0% | 37 | $0.00 | |
| 90700 | 0% | 29 | $0.00 | |
| 90715 | 0% | 33 | $0.00 | |
| 90710 | 0% | 50 | $0.00 | |
| 90648 | 0% | 33 | $0.00 | |
| 90649 | 0% | 35 | $0.00 | |
| 90744 | 0% | 483 | $0.00 | |
| 90686 | 0% | 446 | $0.00 | |
| 90656 | 0% | 231 | $0.00 | |
| 90716 | 0% | 82 | $0.00 | |
| 90697 | 0% | 31 | $0.00 | |
| 90696 | 0% | 15 | $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 officialKLEIN, SHELLY (OWNER/MD)