Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Minnesota for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Minnesota only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Minnesota (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Bluestone Physician Services, P.A. (NPI 1578595971)

Field	Value
Entity Type	Organization
Organization	Bluestone Physician Services, P.A.
Address	270 Main St N Ste 300
City	Stillwater
State	MN
ZIP	55082
Taxonomy	Family Medicine Physician
NPI Enumerated	July 7, 2006

Payer Source	Total Paid
Medicaid	$26.9M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

70 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G9002	Coordinated care fee, maintenance rate	104,410	$110	$11.7M
99337	N/A	83,390	$70	$6M
99336	N/A	72,520	$50	$3.6M
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	54,770	$60	$3.5M
99493	A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in…	7,440	$80	$558.1K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	10,320	$40	$433.3K
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…	8,090	$20	$186.2K
99490	The clinical staff provides services directed by the provider to support and coordinate a patient’s care across multiple disciplines. The patient has two or more chronic conditions that place the…	17,080	$10	$153.7K
99496	The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…	1,230	$100	$127K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	19,610	$10	$117.7K

Showing 1–10 of 70

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.

Claims Volume vs. Minnesota Distribution

Bluestone Physician Services, P.A. — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. Minnesota median

70 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G9002	Coordinated care fee, maintenance rate	1	20	6,640	$150	$2.4M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	889	1,180	1,150	$80	$605.7K
99337	N/A	1	10	120	$70	$544.6K
S0281	Medical home program, comprehensive care coordination and planning, maintenance of plan	2	80	1,070	$90	$341.2K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	40	40	510	$60	$295.8K
S0280	Medical home program, comprehensive care coordination and planning, initial plan	8	40	450	$240	$253K
99349	The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…	1	40	250	$80	$235.8K
99336	N/A	1	30	210	$50	$207.3K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	64	100	590	$40	$202.6K
99493	A provider performs psychiatric collaborative care management (CoCM) for a patient receiving behavioral health treatment and regular psychiatric interspecialty consultation in collaboration and in…	1	10	200	$70	$145.2K

Showing 1–10 of 70

Related Providers

Other providers that share a Tax Identification Number (TIN) with Bluestone Physician Services, P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
April Abrahamson	MN	Internal Medicine Physician	$307.2K	$0
John Murphy	WI	Family Medicine Physician	$202.9K	$320
Charles O'hare	MN	Family Medicine Physician	$164K	$0
Kourtny Long	MN	Physician Assistant	$130K	$0
Heather Pett Taylor	MN	Family Medicine Physician	$130K	$0
Josephine O'gara	MN	Internal Medicine Physician	$124.3K	$0
Kelli Jo Miller	MN	Physician Assistant	$113.1K	$0
Steven Dilts	MN	Family Nurse Practitioner	$110.9K	$0
Shannon Gonnion	MN	Physician Assistant	$107.8K	$0
Katie Heins	MN	Adult Health Nurse Practitioner	$104.5K	$0

Nearby Providers

Other providers in the same ZIP code as Bluestone Physician Services, P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Washington County Community Services	MN	Case Management Agency	$0	$38.3M
Reflections	MN	Addiction (Substance Use Disorder) Counselor	$0	$14.4M
Cedar Ridge Treatment Center LLC	MN	Substance Abuse Rehabilitation Facility	$0	$10.4M
Supervalu Pharmacies Inc	MN	Community/Retail Pharmacy	$3.5M	$0
Alan Downie	MN	Ophthalmology Physician	$1M	$0
Associated Eye Care Ambulatory Surgery Center LLC	MN	Ophthalmologic Surgery Clinic/Center	$834.9K	$0
David Park	MN	Ophthalmology Physician	$193.3K	$0
Adam Goddard	MN	Ophthalmology Physician	$176.6K	$0
Jesse Vislisel	MN	Ophthalmology Physician	$160.2K	$0
Robert Knowlan	MN	Orthopaedic Surgery Physician	$158K	$0

Bluestone Physician Services, P.A. — Billing Profile & Reimbursement Data

Sign up for Bluestone Physician Services, P.A. — Billing Profile & Reimbursement Data policy alerts

Bluestone Physician Services, P.A. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References