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    OpenPayerNPI Medicare & MedicaidCornerstone Family Healthcare
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    Cornerstone Family Healthcare — Billing Profile & Reimbursement Data

    NPI 1689669079 · Newburgh, NY · Federally Qualified Health Center (FQHC)

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    Cornerstone Family Healthcare is a federally qualified health center (fqhc) provider located in Newburgh, New York. This profile covers 2 Medicare and 166 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCornerstone Family Healthcare
    Address147 Lake Street
    CityNewburgh
    StateNY
    ZIP12550
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedSeptember 13, 2005

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

    Payer SourceTotal Paid
    Medicaid$67.2M
    Medicare$181.7K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…720$240$171.1K
    G2078Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure280$40$10.6K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G20672440780$240$232K
    G20782130390$40$22.9K

    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.

    166 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…226,910$70$16.3M
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)79,890$160$12.8M
    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…59,520$110$6.5M
    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…54,850$80$4.6M
    S9083Global fee urgent care centers40,030$110$4.5M
    G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…17,530$230$4M
    90834In 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…12,270$130$1.6M
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…22,330$70$1.5M
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…18,320$60$1.1M
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…21,070$50$1.1M

    Showing 1–10 of 166

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New York median

    166 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H2036Alcohol and/or other drug treatment program, per diem5410010,060$200$4.9M
    G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…22905,000$210$4.5M
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)5412061,480$30$4.4M
    S9083Global fee urgent care centers14200340$120$1.7M
    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…371,5101,010$110$1.1M
    90834In 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…2602,2001,010$130$892.2K
    V5299Hearing service, miscellaneous310430$100$641.1K
    T1015Clinic visit/encounter, all-inclusive891201,230$140$539.3K
    H2001Rehabilitation program, per 1/2 day20302,710$100$465.3K
    90853Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…996201,130$60$370.5K

    Showing 1–10 of 166

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John TigheNYCardiovascular Disease Physician$126.3K$760

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Independent Home Care, Inc.NYHome Health Agency$0$78M
    St. Luke's Cornwall HospitalNYGeneral Acute Care Hospital$0$26.1M
    Ambulnz Ny 2 LLCNYLand Ambulance$2M$2.1M
    Larry KoreenNYOphthalmology Physician$2.2M$196.9K
    Dov SebrowNYRetina Specialist (Ophthalmology) Physician$1.9M$91K
    Glenn GreenNYOphthalmology Physician$1.9M$13.4K
    Samir PatelNYHematology & Oncology Physician$1.8M$60.6K
    Syed NasirNYNeurology Physician$762.5K$811.7K
    Rehan AhmadNYEndocrinology, Diabetes & Metabolism Physician$277.6K$508.7K
    Marc RappaportNYHematology & Oncology Physician$347.7K$185.2K

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New York Distribution
    Cornerstone Family Healthcare — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Cornerstone Family Healthcare — 15 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York