Bluestone Pediatrics, PLC

Bluestone Pediatrics, PLC was paid $26K by Medicaid between Nov 2019 and Nov 2024, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 95% of everything it billed.

33Billing provider infoBLUESTONE PEDIATRICS, PLC
HARRISONBURG, VA 22801

33aNPI1356450951assigned 08/29/2006

33bProvider typePediatrics Physician

28Total paid$26K

24GClaims518

24DCodes billed2

24AFirst – last monthNov 2019 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#433 of 817

Median peer was paid$29K

This provider vs. median0.9×

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
2019	15	$709.73
2021	13	$709.17
2022	110	$6K
2023	173	$9K
2024incomplete	207	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	95%	506	436	$25K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	4.5%	12	12	$1K

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 officialMASON, MARIA (OFFICE MANAGER)