BLUESTONE CLINIC LLC
NPI: 1962192922
· PORTLAND, OR 97204
· Public Health & General Preventive Medicine Physician
· NPI assigned 05/11/2023
$205K
Total Medicaid Paid
Provider Details
| Authorized Official | FRIEDE, ANDREW (MANAGER) |
| NPI Enumeration Date | 05/11/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
390 |
$39K |
| 2024 |
1,233 |
$166K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
809 |
375 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
814 |
375 |
$101K |