Physician
Cornerstone Pediatrics
Cornerstone Pediatrics was paid $2.24M by Medicaid between Dec 2018 and Dec 2024, across 55 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.
33Billing provider infoCORNERSTONE PEDIATRICS
PORT SAINT LUCIE, FL 34983
PORT SAINT LUCIE, FL 34983
33aNPI1912166935assigned 06/05/2008
33bProvider typePediatrics Physician
28Total paid$2.24M
24GClaims69,597
24DCodes billed55
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#146 of 971
Median peer was paid$238K
This provider vs. median9.4×
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 | 397 | $8K | |
| 2019 | 9,293 | $286K | |
| 2020 | 9,542 | $289K | |
| 2021 | 10,965 | $385K | |
| 2022 | 15,026 | $609K | |
| 2023 | 15,098 | $483K | |
| 2024incomplete | 9,276 | $180K |
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 | 75% | 14,925 | 10,383 | $1.67M |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 7.8% | 1,591 | 1,366 | $174K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.2% | 890 | 844 | $95K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 632 | 552 | $66K |
| 90461 | 2.4% | 633 | 616 | $54K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 600 | 567 | $42K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 2,760 | 2,563 | $33K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 279 | 272 | $29K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,442 | 3,883 | $13K |
| 94010 | <1% | 4,790 | 3,583 | $11K | |
| 92567 | <1% | 3,875 | 2,919 | $8K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 426 | 382 | $7K |
43 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,470 | $6K |
| 69210 | <1% | 30 | $6K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 15 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 6,915 | $4K |
| 92552 | <1% | 2,072 | $4K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 42 | $4K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 16 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,413 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 19 | $955.86 |
| 99401 | <1% | 1,484 | $915.15 | |
| 97802 | <1% | 2,089 | $598.17 | |
| 90670 | <1% | 259 | $360.10 | |
| 96161 | <1% | 257 | $307.06 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 54 | $306.66 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $304.10 |
| 0001A | <1% | 28 | $125.64 | |
| 99173 | <1% | 1,453 | $75.70 | |
| 36416 | <1% | 5,979 | $27.52 | |
| 82247 | <1% | 105 | $18.21 | |
| 82565 | <1% | 105 | $18.21 | |
| 80051 | <1% | 104 | $15.80 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 53 | $15.00 |
| 82947 | <1% | 91 | $11.37 | |
| 90686 | <1% | 257 | $6.48 | |
| 81003 | <1% | 32 | $2.03 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,562 | $0.00 |
| 96127 | 0% | 207 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 155 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 1,583 | $0.00 |
| 99000 | 0% | 770 | $0.00 | |
| 90698 | 0% | 42 | $0.00 | |
| 90680 | 0% | 38 | $0.00 | |
| 90744 | 0% | 27 | $0.00 | |
| 90651 | 0% | 41 | $0.00 | |
| 90713 | 0% | 172 | $0.00 | |
| 90700 | 0% | 315 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 126 | $0.00 |
| 90648 | 0% | 171 | $0.00 | |
| 91300 | 0% | 32 | $0.00 | |
| 90633 | 0% | 79 | $0.00 | |
| 90672 | 0% | 38 | $0.00 | |
| 83655 | 0% | 25 | $0.00 | |
| 90734 | 0% | 17 | $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 officialAPONTE, MILTON (PRESIDENT)