Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › STILLWATER › BLUESTONE PHYSICIAN SERVICES, P.A.

BLUESTONE PHYSICIAN SERVICES, P.A.

NPI: 1578595971 · STILLWATER, MN 55082 · Family Medicine Physician · NPI assigned 07/07/2006

$27.01M
Total Medicaid Paid
614,502
Total Claims
544,550
Beneficiaries
70
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPATEL, RAJIV (CEO)
NPI Enumeration Date07/07/2006

Related Entities

Other providers sharing the same authorized official: PATEL, RAJIV

ProviderCityStateTotal Paid
BLUESTONE PHYSICIAN SERVICES WISCONSIN SC MILWAUKEE WI $783K
SOUTH CENTRAL OHIO OBSTETRICS AND GYNECOLOGY, INC WILMINGTON OH $595K
VANCOUVER CONTACT LENS & VISION CLINIC INC VANCOUVER WA $17K
BERGEN HEART ASSOCIATES, LLC HACKENSACK NJ $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 59,857 $788K
2019 76,333 $3.98M
2020 103,658 $4.12M
2021 134,590 $4.68M
2022 96,307 $4.45M
2023 81,083 $4.54M
2024 62,674 $4.46M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9002 Coordinated care fee, maintenance rate 104,413 95,986 $11.72M
99337 83,385 69,050 $6.03M
99336 72,516 62,133 $3.58M
99349 54,765 49,079 $3.47M
99493 7,442 7,118 $562K
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 10,317 9,895 $433K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 8,094 7,573 $189K
99490 Ccm add 20min 17,080 15,545 $162K
99496 1,233 1,126 $127K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 19,609 10,263 $120K
99348 2,876 2,702 $106K
11721 6,087 5,500 $86K
G2214 Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional 2,384 2,206 $78K
99350 Prolong home eval add 15m 675 592 $62K
99487 Ccm add 20min 3,011 2,771 $56K
69210 2,308 2,050 $37K
99327 537 511 $32K
99335 705 631 $30K
99494 698 619 $20K
99439 1,588 1,498 $15K
90792 Psychiatric diagnostic evaluation with medical services 104 99 $12K
99489 Ccm add 20min 692 658 $10K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 680 663 $9K
99328 221 210 $9K
99324 392 374 $8K
99345 Prolong home eval add 15m 75 70 $8K
99334 1,235 924 $7K
99492 118 109 $7K
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). 983 787 $7K
99309 Subsequent nursing facility care, per day, low to moderate complexity 229 214 $6K
99310 Prolong nursin fac eval 15m 54 54 $5K
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 388 364 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 174 163 $5K
99347 287 253 $2K
99484 132 118 $1K
99326 17 17 $1K
S0281 Medical home program, comprehensive care coordination and planning, maintenance of plan 21,860 21,800 $761.99
0064A 12 12 $480.00
99497 13 12 $235.18
99406 94 73 $214.89
99441 12 12 $56.10
S0280 Medical home program, comprehensive care coordination and planning, initial plan 1,262 1,262 $6.33
G8753 Most recent systolic blood pressure >= 140 mmhg 4,998 4,582 $0.00
3288F 7,123 6,851 $0.00
3078F 31,046 27,836 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 24,545 22,168 $0.00
3077F 7,167 6,406 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 331 274 $0.00
1160F 147 110 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 74 69 $0.00
1090F 582 549 $0.00
G8511 Screening for depression documented as positive, follow-up plan not documented, reason not given 47 47 $0.00
0509F 3,192 2,882 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 31,035 27,739 $0.00
3074F 22,693 20,588 $0.00
1170F 10,131 9,572 $0.00
3079F 6,143 5,630 $0.00
3075F 5,781 5,339 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 4,055 3,934 $0.00
1157F 9,766 9,223 $0.00
1126F 8,102 7,647 $0.00
G8755 Most recent diastolic blood pressure >= 90 mmhg 1,045 984 $0.00
3080F 1,279 1,173 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 1,825 1,736 $0.00
1111F 1,888 1,715 $0.00
3044F 267 262 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,348 1,143 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 591 508 $0.00
1125F 532 475 $0.00
91306 12 12 $0.00