Physician
Cornerstone Pediatrics LLC
Cornerstone Pediatrics LLC was paid $133K by Medicaid between Oct 2020 and Dec 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoCORNERSTONE PEDIATRICS LLC
CLARKSVILLE, TN 37043
CLARKSVILLE, TN 37043
33aNPI1992309389assigned 11/25/2020
33bProvider typeDevelopmental - Behavioral Pediatrics Physician
28Total paid$133K
24GClaims7,542
24DCodes billed17
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Developmental - Behavioral Pediatrics Physician providers in Tennessee
Rank by total paid#4 of 5
Median peer was paid$302K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2020 | 85 | $0.00 | |
| 2021 | 1,588 | $30K | |
| 2022 | 2,414 | $44K | |
| 2023 | 1,929 | $40K | |
| 2024incomplete | 1,526 | $19K |
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 | 30% | 1,080 | 942 | $40K |
| 96160 | 23% | 1,621 | 1,163 | $31K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 15% | 699 | 619 | $20K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 8.6% | 501 | 446 | $11K |
| 96127 | 8.3% | 2,195 | 1,510 | $11K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.7% | 64 | 53 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 61 | 55 | $4K |
| 96161 | 2.2% | 263 | 209 | $3K | |
| 92551 | 1.8% | 365 | 314 | $2K | |
| 99173 | 1.4% | 349 | 299 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | 12 | $926.83 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 16 | 14 | $914.89 |
5 more codes
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 officialGRIFFIETH, KATHY (OFFICE MANAGER-RN)