Physician
Bluestone Physician Services, P.A.
Bluestone Physician Services, P.A. was paid $27.01M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is G9002, Coordinated care fee, maintenance rate — 43% of everything it billed.
33Billing provider infoBLUESTONE PHYSICIAN SERVICES, P.A.
STILLWATER, MN 55082
STILLWATER, MN 55082
33aNPI1578595971assigned 07/07/2006
33bProvider typeFamily Medicine Physician
28Total paid$27.01M
24GClaims614,502
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Minnesota
Rank by total paid#1 of 126
Median peer was paid$73K
This provider vs. median370×
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 | 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 | |
| 2024incomplete | 62,674 | $4.46M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9002 | Coordinated care fee, maintenance rate | 43% | 104,413 | 95,986 | $11.72M |
| 99337 | 22% | 83,385 | 69,050 | $6.03M | |
| 99336 | 13% | 72,516 | 62,133 | $3.58M | |
| 99349 | 13% | 54,765 | 49,079 | $3.47M | |
| 99493 | 2.1% | 7,442 | 7,118 | $562K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.6% | 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 | <1% | 8,094 | 7,573 | $189K |
| 99490 | Ccm add 20min | <1% | 17,080 | 15,545 | $162K |
| 99496 | <1% | 1,233 | 1,126 | $127K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 19,609 | 10,263 | $120K |
| 99348 | <1% | 2,876 | 2,702 | $106K | |
| 11721 | <1% | 6,087 | 5,500 | $86K |
58 more codes
| 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 | <1% | 2,384 | $78K |
| 99350 | Prolong home eval add 15m | <1% | 675 | $62K |
| 99487 | Ccm add 20min | <1% | 3,011 | $56K |
| 69210 | <1% | 2,308 | $37K | |
| 99327 | <1% | 537 | $32K | |
| 99335 | <1% | 705 | $30K | |
| 99494 | <1% | 698 | $20K | |
| 99439 | <1% | 1,588 | $15K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 104 | $12K |
| 99489 | Ccm add 20min | <1% | 692 | $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 | <1% | 680 | $9K |
| 99328 | <1% | 221 | $9K | |
| 99324 | <1% | 392 | $8K | |
| 99345 | Prolong home eval add 15m | <1% | 75 | $8K |
| 99334 | <1% | 1,235 | $7K | |
| 99492 | <1% | 118 | $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)). | <1% | 983 | $7K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 229 | $6K |
| 99310 | Prolong nursin fac eval 15m | <1% | 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) | <1% | 388 | $5K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 174 | $5K |
| 99347 | <1% | 287 | $2K | |
| 99484 | <1% | 132 | $1K | |
| 99326 | <1% | 17 | $1K | |
| S0281 | Medical home program, comprehensive care coordination and planning, maintenance of plan | <1% | 21,860 | $761.99 |
| 0064A | <1% | 12 | $480.00 | |
| 99497 | <1% | 13 | $235.18 | |
| 99406 | <1% | 94 | $214.89 | |
| 99441 | <1% | 12 | $56.10 | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 1,262 | $6.33 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 4,998 | $0.00 |
| 3288F | 0% | 7,123 | $0.00 | |
| 3078F | 0% | 31,046 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 24,545 | $0.00 |
| 3077F | 0% | 7,167 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 331 | $0.00 |
| 1160F | 0% | 147 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 74 | $0.00 |
| 1090F | 0% | 582 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 47 | $0.00 |
| 0509F | 0% | 3,192 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 31,035 | $0.00 |
| 3074F | 0% | 22,693 | $0.00 | |
| 1170F | 0% | 10,131 | $0.00 | |
| 3079F | 0% | 6,143 | $0.00 | |
| 3075F | 0% | 5,781 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 4,055 | $0.00 |
| 1157F | 0% | 9,766 | $0.00 | |
| 1126F | 0% | 8,102 | $0.00 | |
| G8755 | Most recent diastolic blood pressure >= 90 mmhg | 0% | 1,045 | $0.00 |
| 3080F | 0% | 1,279 | $0.00 | |
| G8433 | Screening for depression not completed, documented patient or medical reason | 0% | 1,825 | $0.00 |
| 1111F | 0% | 1,888 | $0.00 | |
| 3044F | 0% | 267 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,348 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 591 | $0.00 |
| 1125F | 0% | 532 | $0.00 | |
| 91306 | 0% | 12 | $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 officialPATEL, RAJIV (CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.