Medicaid Provider Spending

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

BLUESTONE PHYSICIAN SERVICES WISCONSIN SC

NPI: 1922497908 · MILWAUKEE, WI 53202 · Family Medicine Physician · NPI assigned 01/14/2015

$783K
Total Medicaid Paid
70,501
Total Claims
64,287
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPATEL, RAJIV (CEO)
NPI Enumeration Date01/14/2015

Related Entities

Other providers sharing the same authorized official: PATEL, RAJIV

ProviderCityStateTotal Paid
BLUESTONE PHYSICIAN SERVICES, P.A. STILLWATER MN $27.01M
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 6,577 $74K
2019 7,508 $92K
2020 9,658 $103K
2021 14,051 $133K
2022 12,912 $132K
2023 11,834 $144K
2024 7,961 $105K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99337 13,567 12,498 $246K
99336 14,776 13,588 $246K
99349 10,624 9,053 $233K
99490 Ccm add 20min 4,801 4,478 $33K
99493 505 461 $11K
99350 Prolong home eval add 15m 76 58 $3K
99348 177 161 $2K
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 177 165 $2K
99328 18 15 $2K
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 152 145 $2K
99347 160 157 $1K
99327 31 29 $942.16
99487 Ccm add 20min 47 39 $555.98
99335 120 115 $368.27
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)). 27 25 $150.74
99439 13 12 $66.77
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 16 15 $46.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 231 218 $46.26
69210 42 42 $35.78
99497 32 32 $15.52
G8754 Most recent diastolic blood pressure < 90 mmhg 12,352 11,345 $0.00
3074F 72 62 $0.00
0509F 490 462 $0.00
1170F 266 249 $0.00
1126F 209 195 $0.00
1157F 225 211 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 308 285 $0.00
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 26 24 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 17 17 $0.00
1090F 379 362 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 8,991 8,265 $0.00
99334 297 295 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 697 669 $0.00
3078F 166 141 $0.00
3288F 326 314 $0.00
1159F 48 46 $0.00
1160F 40 39 $0.00