Clinic
Bluestone Health Association, INC.
Bluestone Health Association, INC. was paid $650K by Medicaid between Jan 2018 and Dec 2020, across 33 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 66% of everything it billed.
33Billing provider infoBLUESTONE HEALTH ASSOCIATION, INC.
PRINCETON, WV 24740
PRINCETON, WV 24740
33aNPI1912377813assigned 10/05/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$650K
24GClaims17,004
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#95 of 205
Median peer was paid$521K
This provider vs. median1.2×
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 | 4,356 | $153K | |
| 2019 | 5,060 | $257K | |
| 2020 | 7,588 | $240K |
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 | 66% | 5,468 | 5,038 | $432K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 3,834 | 3,575 | $89K |
| 3008F | 2.7% | 935 | 901 | $18K | |
| 1111F | 2.6% | 897 | 855 | $17K | |
| 3074F | 1.9% | 592 | 574 | $12K | |
| 1160F | 1.7% | 613 | 591 | $11K | |
| 3078F | 1.6% | 503 | 485 | $11K | |
| 1159F | 1.3% | 471 | 451 | $9K | |
| 1031F | 1.3% | 454 | 437 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 592 | 570 | $7K |
| 1033F | <1% | 254 | 246 | $6K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 191 | 178 | $5K |
21 more codes
| 3351F | <1% | 160 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 129 | $4K |
| 3079F | <1% | 196 | $4K | |
| 1034F | <1% | 163 | $4K | |
| 3725F | <1% | 90 | $2K | |
| 4000F | <1% | 114 | $2K | |
| 3075F | <1% | 68 | $1K | |
| 1090F | <1% | 39 | $934.20 | |
| 1101F | <1% | 39 | $934.20 | |
| 1032F | <1% | 32 | $561.04 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 75 | $461.60 |
| 3077F | <1% | 50 | $375.76 | |
| 3048F | <1% | 28 | $292.60 | |
| 99408 | <1% | 18 | $281.82 | |
| 90686 | <1% | 31 | $273.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 29 | $230.80 |
| 36415 | Collection of venous blood by venipuncture | <1% | 15 | $187.88 |
| 3080F | <1% | 13 | $146.30 | |
| 90632 | <1% | 26 | $25.00 | |
| 80305 | 0% | 36 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 849 | $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. | Princeton, WV | $1.91M |
| Bluestone Health Association, INC. | Bluefield, WV | $1.79M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.