Clinic
Bluestone Health Association, INC.
Bluestone Health Association, INC. was paid $1.91M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 84% of everything it billed.
33Billing provider infoBLUESTONE HEALTH ASSOCIATION, INC.
PRINCETON, WV 24740
PRINCETON, WV 24740
33aNPI1437508314assigned 06/10/2016
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$1.91M
24GClaims60,347
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#54 of 205
Median peer was paid$521K
This provider vs. median3.7×
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 | 9,846 | $230K | |
| 2019 | 7,397 | $294K | |
| 2020 | 16,044 | $319K | |
| 2021 | 12,049 | $320K | |
| 2022 | 4,399 | $196K | |
| 2023 | 5,417 | $263K | |
| 2024incomplete | 5,195 | $289K |
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 | 84% | 16,595 | 14,825 | $1.60M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 10,980 | 9,959 | $100K |
| 3008F | 1.4% | 4,521 | 4,122 | $27K | |
| 1111F | 1.0% | 2,771 | 2,508 | $20K | |
| 1160F | <1% | 3,589 | 3,252 | $19K | |
| 1159F | <1% | 3,426 | 3,093 | $17K | |
| 3074F | <1% | 2,544 | 2,339 | $16K | |
| 1031F | <1% | 2,140 | 1,956 | $16K | |
| 3078F | <1% | 2,071 | 1,919 | $14K | |
| 1033F | <1% | 1,002 | 901 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,403 | 1,325 | $9K |
| 3079F | <1% | 855 | 782 | $8K |
36 more codes
| 1034F | <1% | 673 | $4K | |
| 3725F | <1% | 390 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 429 | $4K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 335 | $4K |
| 3077F | <1% | 289 | $4K | |
| 1032F | <1% | 333 | $4K | |
| 3075F | <1% | 273 | $4K | |
| 3351F | <1% | 500 | $3K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 453 | $3K |
| 3048F | <1% | 72 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 111 | $2K |
| 4000F | <1% | 594 | $2K | |
| 99408 | <1% | 97 | $2K | |
| 3080F | <1% | 94 | $2K | |
| 80305 | <1% | 224 | $2K | |
| 3044F | <1% | 47 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 159 | $1K |
| 3049F | <1% | 29 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 118 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 85 | $994.61 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 41 | $677.74 |
| 81001 | <1% | 31 | $676.34 | |
| 90686 | <1% | 96 | $529.60 | |
| 1101F | <1% | 38 | $281.82 | |
| 1090F | <1% | 28 | $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 | <1% | 12 | $82.44 |
| G0467 | Community health center visit, returning patient | <1% | 2,534 | $59.80 |
| G0008 | Administration of influenza virus vaccine | 0% | 26 | $0.00 |
| Q2039 | Influenza virus vaccine, not otherwise specified | 0% | 26 | $0.00 |
| 3353F | 0% | 13 | $0.00 | |
| 99406 | 0% | 12 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 50 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 138 | $0.00 |
| 4004F | 0% | 13 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 74 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 13 | $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 officialHUTCHENS, LINDA (CEO)
Parent organizationBLUESTONE HEALTH ASSOCIATION, INC.
| Provider | Location | Paid |
|---|---|---|
| Bluestone Health Association, INC. | Princeton, WV | $12.08M |
| Bluestone Health Association, INC. | Bluefield, WV | $1.79M |
| Bluestone Health Association, INC. | Princeton, WV | $650K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.