Cornerstone Medical Associates PLLC

Cornerstone Medical Associates PLLC was paid $80K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 84% of everything it billed.

33Billing provider infoCORNERSTONE MEDICAL ASSOCIATES PLLC
SMYRNA, TN 37167

33aNPI1942543327assigned 04/03/2013

33bProvider typeInternal Medicine Physician

28Total paid$80K

24GClaims3,952

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in Tennessee

Rank by total paid#158 of 581

Median peer was paid$15K

This provider vs. median5.3×

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	642	$14K
2019	625	$13K
2020	114	$4K
2021	262	$7K
2022	557	$11K
2023	653	$12K
2024incomplete	1,099	$18K

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	84%	1,612	1,347	$67K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.8%	221	184	$7K
36415	Collection of venous blood by venipuncture	2.4%	1,347	1,193	$2K
90686		1.2%	88	73	$980.06
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.2%	17	15	$976.78
92551		<1%	212	200	$659.16
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	67	58	$566.72
81003		<1%	373	345	$495.22
90688		<1%	15	14	$169.20

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 officialAKATUE, RICHMOND (CEO)