CORNERSTONE CLINIC LLC
NPI: 1861037293
· PLOVER, WI 54467
· Integrative Medicine Physician
· NPI assigned 11/08/2019
$705K
Total Medicaid Paid
Provider Details
| Authorized Official | PRINCE, DAVE (BUSINESS MANAGER) |
| NPI Enumeration Date | 11/08/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
750 |
$35K |
| 2021 |
1,457 |
$94K |
| 2022 |
4,031 |
$249K |
| 2023 |
3,841 |
$188K |
| 2024 |
1,776 |
$140K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
7,613 |
3,040 |
$593K |
| 99215 |
Prolong outpt/office vis |
1,273 |
764 |
$60K |
| 90785 |
|
1,970 |
834 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
419 |
237 |
$17K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
544 |
195 |
$14K |
| 90791 |
Psychiatric diagnostic evaluation |
36 |
16 |
$1K |