Supplier
Cornerstone Family Healthcare
Cornerstone Family Healthcare was paid $67.19M by Medicaid between Jan 2018 and Dec 2024, across 166 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 24% of everything it billed.
33Billing provider infoCORNERSTONE FAMILY HEALTHCARE
NEWBURGH, NY 12550
NEWBURGH, NY 12550
33aNPI1689669079assigned 09/13/2005
33bProvider typeHearing Aid Equipment
28Total paid$67.19M
24GClaims960,546
24DCodes billed166
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Hearing Aid Equipment providers in New York
Rank by total paid#1 of 6
Median peer was paid$35K
This provider vs. median1,913×
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 | 71,667 | $3.68M | |
| 2019 | 118,034 | $7.43M | |
| 2020 | 195,809 | $13.24M | |
| 2021 | 200,535 | $14.10M | |
| 2022 | 128,037 | $9.00M | |
| 2023 | 142,691 | $11.01M | |
| 2024incomplete | 103,773 | $8.73M |
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 | 24% | 226,905 | 169,597 | $16.29M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 19% | 79,886 | 21,122 | $12.81M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 9.6% | 59,518 | 39,179 | $6.47M |
| 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 | 6.8% | 54,854 | 44,767 | $4.60M |
| S9083 | Global fee urgent care centers | 6.8% | 40,030 | 35,862 | $4.54M |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) | 6.0% | 17,530 | 5,596 | $4.01M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.3% | 12,271 | 5,610 | $1.58M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 22,333 | 16,058 | $1.52M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.6% | 18,321 | 10,371 | $1.06M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 21,070 | 10,287 | $1.05M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 16,374 | 9,589 | $958K |
| H2036 | Alcohol and/or other drug treatment program, per diem | 1.4% | 7,223 | 875 | $945K |
154 more codes
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.2% | 9,070 | $812K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 10,607 | $683K |
| D1110 | Prophylaxis - adult | <1% | 9,483 | $602K |
| D0120 | Dental checkup, returning patient | <1% | 14,794 | $584K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 4,182 | $571K |
| 99441 | <1% | 6,641 | $468K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 4,329 | $437K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 30,835 | $437K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 4,392 | $419K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 4,216 | $320K |
| D1120 | Dental cleaning, child | <1% | 6,676 | $307K |
| D0140 | Limited oral evaluation - problem focused | <1% | 6,230 | $290K |
| 92552 | <1% | 18,440 | $288K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 2,005 | $279K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,280 | $275K |
| 99442 | <1% | 3,670 | $262K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 5,398 | $241K |
| 90899 | <1% | 1,436 | $237K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 3,119 | $226K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 3,302 | $212K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,968 | $208K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | <1% | 5,403 | $207K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12,181 | $189K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 1,864 | $170K |
| G0467 | Community health center visit, returning patient | <1% | 7,020 | $168K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 2,854 | $154K |
| H2001 | Rehabilitation program, per 1/2 day | <1% | 890 | $135K |
| H0033 | Oral medication administration, direct observation | <1% | 730 | $134K |
| 81003 | <1% | 27,775 | $133K | |
| 92567 | <1% | 3,907 | $112K | |
| D0274 | Bitewings - four radiographic images | <1% | 3,827 | $107K |
| 83655 | <1% | 8,331 | $107K | |
| 92557 | <1% | 1,703 | $101K | |
| 11721 | <1% | 1,608 | $96K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 5,908 | $91K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 7,901 | $76K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,914 | $65K |
| 80305 | <1% | 5,443 | $58K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 2,915 | $56K |
| 90837 | Psychotherapy session, about an hour | <1% | 317 | $56K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 5,316 | $51K |
| 90656 | <1% | 6,146 | $47K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 450 | $43K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 391 | $40K |
| 90686 | <1% | 7,034 | $36K | |
| 99173 | <1% | 10,811 | $35K | |
| 81025 | <1% | 13,147 | $31K | |
| 36416 | <1% | 14,286 | $30K | |
| D0270 | <1% | 1,947 | $29K | |
| D1206 | Topical application of fluoride varnish | <1% | 990 | $29K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 7,627 | $28K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 352 | $28K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 28 | $27K |
| 99221 | <1% | 378 | $27K | |
| D0272 | Bitewings - two radiographic images | <1% | 1,565 | $26K |
| T1015 | A visit at a community health center or clinic (one all-in rate) | <1% | 214 | $26K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 1,041 | $26K |
| 92015 | Determination of refractive state | <1% | 2,097 | $25K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 191 | $24K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 321 | $24K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 913 | $21K |
| 0011A | <1% | 681 | $20K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,712 | $18K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 853 | $17K |
| 0012A | <1% | 489 | $16K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 813 | $16K |
| 99177 | <1% | 7,088 | $15K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 314 | $14K |
| 59025 | Fetal non-stress test | <1% | 357 | $14K |
| 92250 | <1% | 343 | $13K | |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 141 | $13K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 93 | $12K |
| 92060 | <1% | 237 | $11K | |
| 90698 | <1% | 2,913 | $9K | |
| 90670 | <1% | 3,037 | $9K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 110 | $9K |
| 76801 | <1% | 67 | $8K | |
| 92579 | <1% | 237 | $8K | |
| 99381 | <1% | 57 | $7K | |
| 90461 | <1% | 5,620 | $7K | |
| 90677 | <1% | 1,460 | $6K | |
| 90715 | <1% | 550 | $5K | |
| 92553 | <1% | 177 | $5K | |
| 73630 | <1% | 187 | $5K | |
| V5264 | Ear mold/insert, not disposable, any type | <1% | 166 | $5K |
| D1351 | Sealant - per tooth | <1% | 97 | $5K |
| D2330 | <1% | 62 | $4K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 401 | $4K |
| 92588 | <1% | 69 | $4K | |
| 0072A | <1% | 129 | $4K | |
| 0002A | <1% | 103 | $4K | |
| 94760 | <1% | 2,482 | $3K | |
| 0071A | <1% | 94 | $3K | |
| 0001A | <1% | 97 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,275 | $3K |
| V5257 | Hearing aid, digital, monaural, bte | <1% | 12 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 289 | $3K |
| 90744 | <1% | 381 | $3K | |
| 76820 | <1% | 85 | $3K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 130 | $3K |
| 99443 | <1% | 45 | $3K | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 77 | $3K |
| 92555 | <1% | 194 | $3K | |
| 90697 | <1% | 566 | $2K | |
| 97162 | <1% | 41 | $2K | |
| 99406 | <1% | 323 | $2K | |
| 90685 | <1% | 245 | $2K | |
| 92593 | <1% | 139 | $1K | |
| 97802 | <1% | 94 | $1K | |
| 81000 | <1% | 452 | $1K | |
| 90651 | <1% | 1,612 | $1K | |
| 97799 | <1% | 24 | $1K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 13 | $1K |
| 90633 | <1% | 1,318 | $1K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 13 | $855.27 |
| V5266 | Battery for use in hearing device | <1% | 189 | $763.95 |
| 73620 | <1% | 27 | $662.35 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 42 | $661.15 |
| 90473 | <1% | 580 | $559.09 | |
| 99407 | <1% | 27 | $489.80 | |
| 99000 | <1% | 2,105 | $484.15 | |
| 90707 | <1% | 109 | $380.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 19 | $365.98 |
| 93000 | <1% | 25 | $355.49 | |
| 86580 | <1% | 50 | $322.37 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 14 | $308.75 |
| 90734 | <1% | 438 | $289.58 | |
| D1330 | <1% | 3,961 | $198.89 | |
| 90619 | <1% | 291 | $190.22 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 31 | $188.05 |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 14 | $165.82 |
| 90620 | <1% | 65 | $163.84 | |
| 90716 | <1% | 229 | $96.00 | |
| 81002 | <1% | 36 | $70.33 | |
| 90655 | <1% | 13 | $67.23 | |
| 82948 | <1% | 40 | $56.70 | |
| 90723 | <1% | 16 | $25.00 | |
| 90647 | <1% | 40 | $25.00 | |
| 92558 | <1% | 13 | $3.67 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 13 | $2.22 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 31 | $1.69 |
| 90681 | 0% | 1,101 | $0.00 | |
| 4124F | 0% | 89 | $0.00 | |
| 90710 | 0% | 52 | $0.00 | |
| 99080 | 0% | 238 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 91300 | 0% | 24 | $0.00 | |
| 1220F | 0% | 355 | $0.00 | |
| 1000F | 0% | 394 | $0.00 | |
| V5299 | Hearing service, miscellaneous | 0% | 57 | $0.00 |
| 1036F | 0% | 28 | $0.00 | |
| 3075F | 0% | 12 | $0.00 | |
| 90381 | 0% | 40 | $0.00 | |
| 90696 | 0% | 38 | $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 officialJOLLY, DAVID (CEO)
| Provider | Location | Paid |
|---|---|---|
| Cornerstone Family Healthcare | New City, NY | $107K |
| Cornerstone Family Healthcare | Middletown, NY | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.