COMMUNITY CARE OF WEST VIRGINIA, INC.
NPI: 1043567456
· DUNMORE, WV 24934
· Federally Qualified Health Center (FQHC)
· NPI assigned 08/06/2012
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official SIMON, RICHARD controls 11+ related entities in our dataset. Read more
Provider Details
| Authorized Official | SIMON, RICHARD (CEO) |
| Parent Organization | COMMUNITY CARE OF WEST VIRGINIA, INC. |
| NPI Enumeration Date | 08/06/2012 |
Related Entities
Other providers sharing the same authorized official: SIMON, RICHARD
| Provider | City | State | Total Paid |
|---|
| COMMUNITY CARE OF WEST VIRGINIA, INC. |
BUCKHANNON |
WV |
$6.32M |
| COMMUNITY CARE OF WEST VIRGINIA, INC. |
BUCKHANNON |
WV |
$606K |
| COMMUNITY CARE OF WEST VIRGINIA, INC. |
SUTTON |
WV |
$324K |
| COMMUNITY CARE OF WEST VIRGINIA, INC. |
SUTTON |
WV |
$156K |
| COMMUNITY CARE OF WEST VIRGINIA, INC. |
BUCKHANNON |
WV |
$129K |
| COMMUNITY CARE OF WEST VIRGINIA, INC. |
GREEN BANK |
WV |
$126K |
| COMMUNITY CARE OF WEST VIRGINIA, INC. |
GREEN BANK |
WV |
$16K |
| COMMUNITY CARE OF WEST VIRGINIA, INC. |
FRENCH CREEK |
WV |
$13K |
| COMMUNITY CARE OF WEST VIRGINIA, INC. |
LOST CREEK |
WV |
$6K |
| COMMUNITY CARE OF WEST VIRGINIA, INC. |
MARLINTON |
WV |
$1K |
| WOLFE-SIMON MEDICAL ASSOCIATES PA |
CHERRY HILL |
NJ |
$599.76 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
139 |
$12K |
| 2019 |
60 |
$2K |
| 2020 |
21 |
$3K |
| 2022 |
81 |
$10K |
| 2023 |
258 |
$25K |
| 2024 |
336 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
496 |
407 |
$93K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
183 |
154 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
57 |
51 |
$462.72 |
| 1160F |
|
19 |
16 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$0.00 |
| 1159F |
|
19 |
16 |
$0.00 |
| 90686 |
|
42 |
37 |
$0.00 |
| 3074F |
|
17 |
14 |
$0.00 |
| 1126F |
|
14 |
13 |
$0.00 |
| 92551 |
|
15 |
15 |
$0.00 |
| 1036F |
|
19 |
16 |
$0.00 |