Medicaid Provider Spending

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

BLUESTONE HEALTH ASSOCIATION, INC.

NPI: 1770950396 · BLUEFIELD, WV 24701 · Federally Qualified Health Center (FQHC) · NPI assigned 08/31/2015

$1.79M
Total Medicaid Paid
48,769
Total Claims
44,177
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 Date08/31/2015

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. PRINCETON WV $1.91M
BLUESTONE HEALTH ASSOCIATION, INC. PRINCETON WV $650K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,711 $142K
2019 2,782 $97K
2020 6,597 $216K
2021 10,633 $318K
2022 7,919 $366K
2023 7,651 $306K
2024 8,476 $345K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 17,926 15,941 $1.63M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,321 11,162 $100K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,246 1,160 $9K
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 4,409 3,800 $6K
3008F 1,851 1,777 $6K
1111F 1,216 1,148 $4K
1160F 1,450 1,376 $4K
3074F 1,010 976 $3K
36415 Collection of venous blood by venipuncture 293 267 $3K
3078F 824 795 $3K
90837 Psychotherapy, 53 minutes with patient 200 172 $3K
1031F 524 505 $3K
1159F 1,292 1,226 $2K
90853 Group psychotherapy (other than of a multiple-family group) 166 145 $2K
1033F 153 147 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 269 240 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 103 99 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 833 743 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 274 262 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 148 132 $1K
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 169 167 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 83 68 $794.64
90686 110 107 $655.20
3725F 28 28 $375.76
3079F 244 239 $356.82
99408 25 25 $187.88
1034F 91 85 $93.94
4000F 271 252 $93.94
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 35 32 $79.39
81025 20 12 $68.99
81001 24 21 $32.79
J1885 Injection, ketorolac tromethamine, per 15 mg 25 22 $19.66
J0696 Injection, ceftriaxone sodium, per 250 mg 18 15 $7.48
J1100 Injection, dexamethasone sodium phosphate, 1 mg 53 51 $6.52
1032F 81 76 $0.00
3077F 17 14 $0.00
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 20 20 $0.00
90832 Psychotherapy, 30 minutes with patient 87 77 $0.00
80305 338 300 $0.00
1090F 26 23 $0.00
Q2039 Influenza virus vaccine, not otherwise specified 16 16 $0.00
3351F 204 192 $0.00
96127 21 20 $0.00
3075F 89 88 $0.00
H0049 Alcohol and/or drug screening 64 55 $0.00
1101F 39 36 $0.00
G0008 Administration of influenza virus vaccine 16 16 $0.00
99406 47 47 $0.00