Medicaid Provider Spending

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

BLUESTONE HEALTH ASSOCIATION, INC.

NPI: 1437508314 · PRINCETON, WV 24740 · Federally Qualified Health Center (FQHC) · NPI assigned 06/10/2016

$1.91M
Total Medicaid Paid
60,347
Total Claims
54,714
Beneficiaries
48
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHUTCHENS, LINDA (CEO)
Parent OrganizationBLUESTONE HEALTH ASSOCIATION, INC.
NPI Enumeration Date06/10/2016

Related Entities

Other providers sharing the same authorized official: HUTCHENS, LINDA

ProviderCityStateTotal Paid
BLUESTONE HEALTH ASSOCIATION, INC. PRINCETON WV $12.08M
BLUESTONE HEALTH ASSOCIATION, INC. BLUEFIELD WV $1.79M
BLUESTONE HEALTH ASSOCIATION, INC. PRINCETON WV $650K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,846 $230K
2019 7,397 $294K
2020 16,044 $319K
2021 12,049 $320K
2022 4,399 $196K
2023 5,417 $263K
2024 5,195 $289K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 16,595 14,825 $1.60M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,980 9,959 $100K
3008F 4,521 4,122 $27K
1111F 2,771 2,508 $20K
1160F 3,589 3,252 $19K
1159F 3,426 3,093 $17K
3074F 2,544 2,339 $16K
1031F 2,140 1,956 $16K
3078F 2,071 1,919 $14K
1033F 1,002 901 $10K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,403 1,325 $9K
3079F 855 782 $8K
1034F 673 634 $4K
3725F 390 381 $4K
36415 Collection of venous blood by venipuncture 429 398 $4K
90853 Group psychotherapy (other than of a multiple-family group) 335 273 $4K
3077F 289 276 $4K
1032F 333 312 $4K
3075F 273 260 $4K
3351F 500 473 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 453 423 $3K
3048F 72 69 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 111 103 $2K
4000F 594 559 $2K
99408 97 95 $2K
3080F 94 91 $2K
80305 224 200 $2K
3044F 47 41 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 159 142 $1K
3049F 29 27 $1K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 118 111 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 85 83 $994.61
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 41 40 $677.74
81001 31 29 $676.34
90686 96 85 $529.60
1101F 38 37 $281.82
1090F 28 27 $281.82
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 12 12 $82.44
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 2,534 2,228 $59.80
G0008 Administration of influenza virus vaccine 26 26 $0.00
Q2039 Influenza virus vaccine, not otherwise specified 26 26 $0.00
3353F 13 13 $0.00
99406 12 12 $0.00
H0049 Alcohol and/or drug screening 50 47 $0.00
90837 Psychotherapy, 53 minutes with patient 138 111 $0.00
4004F 13 12 $0.00
90832 Psychotherapy, 30 minutes with patient 74 65 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 12 $0.00