Clinic
Cornerstone Pediatrics,apmc
Cornerstone Pediatrics,apmc was paid $7.07M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoCORNERSTONE PEDIATRICS,APMC
NATCHITOCHES, LA 71457
NATCHITOCHES, LA 71457
33aNPI1891892147assigned 09/20/2006
33bProvider typeClinic/Center
28Total paid$7.07M
24GClaims224,359
24DCodes billed56
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Louisiana
Rank by total paid#3 of 112
Median peer was paid$138K
This provider vs. median51×
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 | 38,564 | $1.13M | |
| 2019 | 36,756 | $988K | |
| 2020 | 28,811 | $803K | |
| 2021 | 28,795 | $1.09M | |
| 2022 | 33,308 | $1.16M | |
| 2023 | 29,440 | $1.03M | |
| 2024incomplete | 28,685 | $867K |
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 | 30% | 33,867 | 31,092 | $2.15M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 34,711 | 31,869 | $1.49M |
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | 9.4% | 1,905 | 1,740 | $663K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.4% | 8,925 | 7,997 | $520K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 5,356 | 5,136 | $357K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.7% | 10,561 | 9,885 | $260K |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 3.3% | 660 | 586 | $237K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 3,154 | 3,016 | $209K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.8% | 14,496 | 13,573 | $195K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.3% | 10,255 | 9,669 | $162K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 2,224 | 2,148 | $161K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 11,031 | 4,989 | $95K |
44 more codes
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.2% | 2,601 | $87K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,847 | $62K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,932 | $55K |
| 99050 | <1% | 3,389 | $52K | |
| 92551 | <1% | 6,280 | $48K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 7,417 | $47K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 375 | $35K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 695 | $31K |
| 99460 | <1% | 647 | $27K | |
| 87428 | <1% | 537 | $21K | |
| 87899 | <1% | 2,380 | $21K | |
| 85018 | <1% | 9,382 | $19K | |
| 99051 | <1% | 837 | $13K | |
| 81002 | <1% | 4,133 | $9K | |
| 97802 | <1% | 3,625 | $8K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 878 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,275 | $7K |
| 99462 | <1% | 367 | $7K | |
| 99173 | <1% | 7,193 | $6K | |
| 54150 | <1% | 37 | $5K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 2,733 | $2K |
| 94760 | <1% | 5,635 | $546.06 | |
| 86308 | <1% | 76 | $314.15 | |
| 94667 | <1% | 26 | $311.25 | |
| 90670 | <1% | 5,760 | $125.00 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 12 | $19.65 |
| 90633 | <1% | 1,420 | $0.10 | |
| 90710 | 0% | 1,166 | $0.00 | |
| 90658 | 0% | 64 | $0.00 | |
| 90648 | 0% | 833 | $0.00 | |
| 90681 | 0% | 1,032 | $0.00 | |
| S9441 | Asthma education, non-physician provider, per session | 0% | 1,132 | $0.00 |
| 90715 | 0% | 146 | $0.00 | |
| 90734 | 0% | 301 | $0.00 | |
| 90686 | 0% | 1,026 | $0.00 | |
| 90620 | 0% | 16 | $0.00 | |
| 90619 | 0% | 167 | $0.00 | |
| 90697 | 0% | 1,094 | $0.00 | |
| 90698 | 0% | 733 | $0.00 | |
| 90723 | 0% | 786 | $0.00 | |
| 90696 | 0% | 114 | $0.00 | |
| 90651 | 0% | 86 | $0.00 | |
| 3008F | 0% | 17 | $0.00 | |
| 90656 | 0% | 12 | $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 officialRODRIGUEZ, CHRISTA (PRESIDENT/MD)