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CORNERSTONE FAMILY HEALTHCARE

Clinic/Center, Federally Qualified Health Center (FQHC)·NEWBURGH, NY·NPI: 1689669079Share

Compared to Clinic/Center, Federally Qualified Health Center (FQHC) Peers

Total spending distribution among 16 providers in this specialty

P25MedianP75P90

This provider's total spending of $67.2M is at the below 25th percentile among 16 Clinic/Center, Federally Qualified Health Center (FQHC) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$67.2M

$67,191,491

Total Claims

961K

Beneficiaries

693K

1.4 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$3.7M
+102%
2019
$7.4M
+78%
2020
$13.2M
+6%
2021
$14.1M
-36%
2022
$9.0M
+22%
2023
$11.0M
-21%
2024
$8.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 24% of total spending.

99213Top 10%

Office/outpatient visit, est. patient, low-mod complexity

$16.3M

227K claims · 24.2%

Your Cost: $71.77/claim|Median: $37.81
1.9× median
H0020Top 5%

Alcohol/drug services; methadone administration

$12.8M

80K claims · 19.1%

Your Cost: $160.37/claim|Median: $18.95
8.5× median
90832Top 10%

Psychotherapy, 30 minutes

$6.5M

60K claims · 9.6%

Your Cost: $108.69/claim|Median: $41.28
2.6× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$4.6M

55K claims · 6.8%

Your Cost: $83.80/claim|Median: $53.41
1.6× median
S9083Normal range

Global fee, urgent care centers

$4.5M

40K claims · 6.8%

Your Cost: $113.41/claim|Median: $103.99
1.1× median
G2067Top 5%

Medication-assisted treatment, opioid use disorder, per month

$4.0M

18K claims · 6.0%

Your Cost: $228.86/claim|Median: $73.29
3.1× median
90834Top 10%

Psychotherapy, 45 minutes

$1.6M

12K claims · 2.3%

Your Cost: $128.57/claim|Median: $63.65
2.0× median
99212Top 10%

Office/outpatient visit, low complexity

$1.5M

22K claims · 2.3%

Your Cost: $68.02/claim|Median: $25.06
2.7× median
99392Normal range

Preventive medicine, established patient, age 1-4

$1.1M

18K claims · 1.6%

Your Cost: $57.63/claim|Median: $75.18
0.8× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$1.0M

21K claims · 1.6%

Your Cost: $49.68/claim|Median: $69.35
0.7× median
99393Normal range

Preventive medicine, established patient, age 5-11

$958K

16K claims · 1.4%

Your Cost: $58.54/claim|Median: $74.82
0.8× median
H2036Normal range

Alcohol/drug treatment, per hour

$945K

7,223 claims · 1.4%

Your Cost: $130.86/claim|Median: $253.79
0.5× median
90853Top 5%

Group psychotherapy

$812K

9,070 claims · 1.2%

Your Cost: $89.48/claim|Median: $25.02
3.6× median
99394Normal range

Preventive medicine, established patient, age 12-17

$683K

11K claims · 1.0%

Your Cost: $64.37/claim|Median: $80.15
0.8× median
D1110Top 25%

Prophylaxis, adult cleaning

$602K

9,483 claims · 0.9%

Your Cost: $63.52/claim|Median: $43.38
1.5× median
D0120Top 25%

Periodic oral evaluation, established patient

$584K

15K claims · 0.9%

Your Cost: $39.48/claim|Median: $24.34
1.6× median
90791Top 25%

Psychiatric diagnostic evaluation

$571K

4,182 claims · 0.9%

Your Cost: $136.62/claim|Median: $99.21
1.4× median
99441Top 5%

Telephone E/M by physician, 5-10 min

$468K

6,641 claims · 0.7%

Your Cost: $70.50/claim|Median: $13.30
5.3× median
99203Top 10%

Office/outpatient visit, new patient, low-mod complexity

$437K

4,329 claims · 0.7%

Your Cost: $100.95/claim|Median: $57.85
1.7× median
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$437K

31K claims · 0.7%

Your Cost: $14.17/claim|Median: $17.85
0.8× median
99395Top 25%

Preventive medicine, established patient, age 18-39

$419K

4,392 claims · 0.6%

Your Cost: $95.50/claim|Median: $72.71
1.3× median
G2025Top 10%

$320K

4,216 claims · 0.5%

Your Cost: $75.91/claim|Median: $15.63
4.9× median
D1120Top 10%

Prophylaxis, adult

$307K

6,676 claims · 0.5%

Your Cost: $46.00/claim|Median: $33.86
1.4× median
D0140Top 10%

Limited oral evaluation, problem focused

$290K

6,230 claims · 0.4%

Your Cost: $46.48/claim|Median: $27.07
1.7× median
92552Normal range

Pure tone audiometry, air only, each ear

$288K

18K claims · 0.4%

Your Cost: $15.63/claim|Median: $12.63
1.2× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$279K

2,005 claims · 0.4%

Your Cost: $138.98/claim|Median: $108.91
1.3× median
99215Top 25%

Office/outpatient visit, high complexity

$275K

2,280 claims · 0.4%

Your Cost: $120.62/claim|Median: $74.09
1.6× median
99442Top 10%

Telephone E/M by physician, 11-20 minutes

$262K

3,670 claims · 0.4%

Your Cost: $71.32/claim|Median: $22.44
3.2× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$241K

5,398 claims · 0.4%

Your Cost: $44.74/claim|Median: $32.07
1.4× median
90899Top 25%

Unlisted psychiatric service/procedure

$237K

1,436 claims · 0.4%

Your Cost: $165.34/claim|Median: $30.72
5.4× median
D2391Normal range

Resin-based composite, one surface, posterior

$226K

3,119 claims · 0.3%

Your Cost: $72.57/claim|Median: $54.60
1.3× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$212K

3,302 claims · 0.3%

Your Cost: $64.31/claim|Median: $47.08
1.4× median
99396Top 25%

Preventive medicine, established patient, age 40-64

$208K

1,968 claims · 0.3%

Your Cost: $105.45/claim|Median: $76.06
1.4× median
G2078Top 25%

$207K

5,403 claims · 0.3%

Your Cost: $38.40/claim|Median: $27.04
1.4× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$189K

12K claims · 0.3%

Your Cost: $15.53/claim|Median: $10.51
1.5× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$170K

1,864 claims · 0.3%

Your Cost: $91.15/claim|Median: $71.00
1.3× median
G0467Normal range

Federally qualified health center visit, mental health

$168K

7,020 claims · 0.2%

Your Cost: $23.89/claim|Median: $21.91
1.1× median
D0210Normal range

Intraoral, complete series of radiographic images

$154K

2,854 claims · 0.2%

Your Cost: $53.84/claim|Median: $46.33
1.2× median
H2001Normal range

$135K

890 claims · 0.2%

Your Cost: $151.44/claim|Median: $309.28
0.5× median
H0033Top 25%

Oral medication administration, direct observation

$134K

730 claims · 0.2%

Your Cost: $184.08/claim|Median: $31.37
5.9× median
81003Top 10%

Urinalysis, automated without microscopy

$133K

28K claims · 0.2%

Your Cost: $4.81/claim|Median: $1.48
3.2× median
92567Top 10%

$112K

3,907 claims · 0.2%

Your Cost: $28.70/claim|Median: $11.50
2.5× median
D0274Normal range

Bitewings, four radiographic images

$107K

3,827 claims · 0.2%

Your Cost: $28.07/claim|Median: $22.54
1.2× median
83655Top 25%

$107K

8,331 claims · 0.2%

Your Cost: $12.89/claim|Median: $10.49
1.2× median
92557Top 25%

Comprehensive audiometry, air, bone, and speech testing

$101K

1,703 claims · 0.2%

Your Cost: $59.36/claim|Median: $27.28
2.2× median
11721Top 5%

$96K

1,608 claims · 0.1%

Your Cost: $59.92/claim|Median: $8.56
7.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$91K

5,908 claims · 0.1%

Your Cost: $15.36/claim|Median: $14.36
1.1× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$76K

7,901 claims · 0.1%

Your Cost: $9.57/claim|Median: $9.80
1.0× median
87804Normal range

Influenza virus detection, rapid test

$65K

4,914 claims · 0.1%

Your Cost: $13.19/claim|Median: $12.59
1.0× median
80305Top 25%

$58K

5,443 claims · 0.1%

Your Cost: $10.59/claim|Median: $7.44
1.4× median

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