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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCornerstone Project, LLC
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    Cornerstone Project, LLC — Billing Profile & Reimbursement Data

    NPI 1639609548 · Dayton, OH · Substance Use Disorder Rehabilitation Clinic/Center

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    Cornerstone Project, LLC is a substance use disorder rehabilitation clinic/center provider located in Dayton, Ohio. This profile covers 0 Medicare and 22 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCornerstone Project, LLC
    Address4124 Linden Ave
    CityDayton
    StateOH
    ZIP45432
    TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
    NPI EnumeratedJune 13, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$21M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H0015Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…85,160$140$12.1M
    T1003Lpn/lvn services, up to 15 minutes44,780$40$1.9M
    T1002Rn services, up to 15 minutes42,150$40$1.7M
    H0006Alcohol and/or drug services; case management11,430$80$902.7K
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)56,810$20$852.1K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…9,410$80$743.6K
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…6,310$90$555.5K
    H0005Alcohol and/or drug services; group counseling by a clinician11,210$40$482K
    H0048Alcohol and/or other drug testing: collection and handling only, specimens other than blood31,540$10$441.6K
    90832In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…5,750$50$275.8K

    Showing 1–10 of 22

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Ohio providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Ohio median

    22 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)231207,190$30$2.6M
    H0015Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…196101,350$150$1.9M
    H0014Alcohol and/or drug services; ambulatory detoxification1640780$260$1.1M
    90837In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…3542,640620$90$408.2K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.2233402,260$30$398.2K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1,3274,510500$60$377.8K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…6705,080560$40$323.9K
    H0006Alcohol and/or drug services; case management92710520$50$307.3K
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…2870560$70$292.9K
    H0005Alcohol and/or drug services; group counseling by a clinician68490940$50$271.1K

    Showing 1–10 of 22

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Cornerstone Project, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vernon ReynoldsOHAnesthesiology Physician$28.5K$0
    James GuentherOHAddiction Medicine (Internal Medicine) Physician$13.4K$0
    Mario BianconiOHFamily Nurse Practitioner$7.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Cornerstone Project, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Recovery Street Central LLCOHCommunity/Behavioral Health Agency$0$16.7M
    Suresh Gupta Md IncOHSpecialist$0$8.4M
    Miami Valley Ambulatory Surgery Center LtdOHAmbulatory Surgical Clinic/Center$242.2K$2.1M
    Michael BloomOHPediatric Ophthalmology and Strabismus Specialist Physician Physician$50.1K$1.5M
    Sherry GroomsOHNurse Practitioner$142.8K$246.3K
    Maneesh MehanOHOphthalmology Physician$223.2K$260
    Priyesh MehtaOHPain Medicine (Physical Medicine & Rehabilitation) Physician$162.7K$0
    Janette FroehlichOHFamily Medicine Physician$162.4K$0
    Kathryn BalazsOHDermatology Physician$136.6K$0
    Antonela SveticOHNeurology Physician$116.3K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Ohio Providers
    6 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Cornerstone Project, LLC — 3 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio