Clinic
Cornerstone Pediatrics, P.A.
Cornerstone Pediatrics, P.A. was paid $637K by Medicaid between Sep 2020 and Aug 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoCORNERSTONE PEDIATRICS, P.A.
SEGUIN, TX 78155
SEGUIN, TX 78155
33aNPI1760616619assigned 05/06/2009
33bProvider typePrimary Care Clinic/Center
28Total paid$637K
24GClaims36,818
24DCodes billed45
24AFirst – last monthSep 2020 – Aug 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Texas
Rank by total paid#24 of 180
Median peer was paid$25K
This provider vs. median25×
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 | |
|---|---|---|---|
| 2020 | 2,931 | $32K | |
| 2021 | 12,196 | $189K | |
| 2022 | 13,123 | $222K | |
| 2023 | 6,755 | $148K | |
| 2024incomplete | 1,813 | $46K |
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 | 23% | 4,444 | 3,807 | $145K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 1,320 | 1,288 | $108K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 1,008 | 985 | $79K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 10% | 6,737 | 3,009 | $66K |
| 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 | 8.8% | 1,203 | 1,013 | $56K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.8% | 565 | 559 | $50K |
| 99429 | 5.5% | 1,092 | 1,054 | $35K | |
| 87428 | 4.2% | 508 | 375 | $27K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.0% | 584 | 480 | $19K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.0% | 1,539 | 1,458 | $13K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.8% | 278 | 236 | $11K |
| 90461 | 1.2% | 1,257 | 1,095 | $7K |
33 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 104 | $5K |
| 92587 | <1% | 1,125 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 38 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 156 | $2K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 486 | $2K |
| 0072A | <1% | 34 | $1K | |
| 0071A | <1% | 42 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 53 | $1K |
| 0001A | <1% | 15 | $518.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 644 | $225.99 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 15 | $209.73 |
| 90686 | <1% | 934 | $1.00 | |
| 90688 | <1% | 479 | $1.00 | |
| 90677 | <1% | 34 | $1.00 | |
| 92551 | <1% | 18 | $0.15 | |
| 96127 | 0% | 531 | $0.00 | |
| 91307 | 0% | 95 | $0.00 | |
| 90680 | 0% | 487 | $0.00 | |
| 90744 | 0% | 85 | $0.00 | |
| 3008F | 0% | 80 | $0.00 | |
| 90698 | 0% | 172 | $0.00 | |
| 90696 | 0% | 13 | $0.00 | |
| 90697 | 0% | 385 | $0.00 | |
| 90651 | 0% | 13 | $0.00 | |
| 90670 | 0% | 829 | $0.00 | |
| 99072 | 0% | 7,760 | $0.00 | |
| 99177 | 0% | 931 | $0.00 | |
| 90633 | 0% | 249 | $0.00 | |
| 91300 | 0% | 23 | $0.00 | |
| 90710 | 0% | 248 | $0.00 | |
| 99173 | 0% | 170 | $0.00 | |
| 91308 | 0% | 20 | $0.00 | |
| 90700 | 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 officialSTEPHENS, ROBERT (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Landmark Pharmacy, LLC | Little Rock, AR | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.