Bluestone Health Association, INC.

Bluestone Health Association, INC. was paid $1.50M by Medicaid between Jan 2018 and Nov 2024, across 41 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 88% of everything it billed.

33Billing provider infoBLUESTONE HEALTH ASSOCIATION, INC.
MONTCALM, WV 24737

33aNPI1043387327assigned 11/29/2006

33bProvider typeFederally Qualified Health Center (FQHC)

28Total paid$1.50M

24GClaims45,484

24DCodes billed41

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in West Virginia

Rank by total paid#67 of 205

Median peer was paid$521K

This provider vs. median2.9×

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	6,242	$141K
2019	3,833	$154K
2020	8,630	$225K
2021	10,229	$255K
2022	6,249	$244K
2023	5,930	$260K
2024incomplete	4,371	$219K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	88%	12,852	11,688	$1.32M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.9%	9,356	8,480	$73K
1111F		1.0%	3,108	2,609	$15K
3008F		1.0%	3,183	2,910	$15K
3074F		<1%	1,806	1,661	$11K
3078F		<1%	1,659	1,507	$9K
1160F		<1%	1,944	1,793	$7K
1031F		<1%	1,128	1,033	$7K
36415	Collection of venous blood by venipuncture	<1%	1,054	994	$5K
1033F		<1%	482	443	$4K
1159F		<1%	668	646	$3K
1034F		<1%	608	560	$3K

29 more codes

1090F		<1%	954	$2K
3079F		<1%	257	$2K
99214	Doctor's office visit, returning patient (more involved)	<1%	549	$2K
1101F		<1%	930	$2K
3725F		<1%	237	$2K
4000F		<1%	474	$2K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	275	$2K
3351F		<1%	260	$2K
1032F		<1%	43	$939.40
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	549	$850.15
99406		<1%	135	$806.50
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	59	$676.18
99408		<1%	33	$531.26
0002A		<1%	17	$510.00
99203	Doctor's office visit, new patient (routine)	<1%	16	$385.14
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	43	$308.50
3077F		<1%	57	$281.82
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	47	$274.60
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	27	$209.40
G0467	Community health center visit, returning patient	<1%	2,275	$187.86
81001		<1%	14	$101.38
81002		<1%	12	$25.84
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	14	$9.19
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	17	$2.04
H0049	Alcohol and/or drug screening	0%	72	$0.00
3080F		0%	17	$0.00
3075F		0%	27	$0.00
80305		0%	209	$0.00
91300		0%	17	$0.00

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 officialKISH, REBECCA (CREDENTIALING SPECIALIST)