Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BLUESTONE HEALTH ASSOCIATION, INC.

NPI: 1043387327 · MONTCALM, WV 24737 · Federally Qualified Health Center (FQHC) · NPI assigned 11/29/2006

$1.50M
Total Medicaid Paid
45,484
Total Claims
41,163
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKISH, REBECCA (CREDENTIALING SPECIALIST)
NPI Enumeration Date11/29/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 4,371 $219K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 12,852 11,688 $1.32M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,356 8,480 $73K
1111F 3,108 2,609 $15K
3008F 3,183 2,910 $15K
3074F 1,806 1,661 $11K
3078F 1,659 1,507 $9K
1160F 1,944 1,793 $7K
1031F 1,128 1,033 $7K
36415 Collection of venous blood by venipuncture 1,054 994 $5K
1033F 482 443 $4K
1159F 668 646 $3K
1034F 608 560 $3K
1090F 954 851 $2K
3079F 257 249 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 549 501 $2K
1101F 930 840 $2K
3725F 237 229 $2K
4000F 474 383 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 275 250 $2K
3351F 260 250 $2K
1032F 43 43 $939.40
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 549 535 $850.15
99406 135 124 $806.50
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 59 59 $676.18
99408 33 33 $531.26
0002A 17 17 $510.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 15 $385.14
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 43 26 $308.50
3077F 57 53 $281.82
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 47 46 $274.60
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 27 17 $209.40
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 2,275 1,942 $187.86
81001 14 13 $101.38
81002 12 12 $25.84
J1885 Injection, ketorolac tromethamine, per 15 mg 14 14 $9.19
J1100 Injection, dexamethasone sodium phosphate, 1 mg 17 16 $2.04
H0049 Alcohol and/or drug screening 72 69 $0.00
3080F 17 17 $0.00
3075F 27 27 $0.00
80305 209 191 $0.00
91300 17 17 $0.00