Clinic
Community Care of West Virginia, INC.
Community Care of West Virginia, INC. was paid $10.99M by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoCOMMUNITY CARE OF WEST VIRGINIA, INC.
CLARKSBURG, WV 26301
CLARKSBURG, WV 26301
33aNPI1053742668assigned 12/06/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$10.99M
24GClaims160,547
24DCodes billed62
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#7 of 205
Median peer was paid$521K
This provider vs. median21×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official POTASNIK, DORA controls 20+ related entities in our dataset. Read more
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 | 14,027 | $864K | |
| 2019 | 8,209 | $553K | |
| 2020 | 15,163 | $815K | |
| 2021 | 16,843 | $1.00M | |
| 2022 | 28,183 | $2.44M | |
| 2023 | 39,367 | $2.97M | |
| 2024incomplete | 38,755 | $2.34M |
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 | 93% | 58,186 | 47,807 | $10.21M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 33,363 | 28,444 | $248K |
| 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 | 1.1% | 12,483 | 10,777 | $116K |
| 87428 | <1% | 4,201 | 3,931 | $104K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 3,301 | 2,847 | $100K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,748 | 1,566 | $31K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,539 | 1,258 | $28K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,100 | 3,771 | $23K |
| 81002 | <1% | 907 | 835 | $23K | |
| 90686 | <1% | 627 | 578 | $14K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 571 | 453 | $13K |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | <1% | 569 | 496 | $13K |
50 more codes
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 700 | $12K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 648 | $12K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 1,493 | $10K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,147 | $8K |
| 90837 | Psychotherapy session, about an hour | <1% | 140 | $6K |
| 36415 | Collection of venous blood by venipuncture | <1% | 149 | $5K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 173 | $4K |
| 81025 | <1% | 110 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 558 | $4K |
| 90715 | <1% | 156 | $2K | |
| 92551 | <1% | 264 | $1K | |
| 90707 | <1% | 41 | $1K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 89 | $970.74 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 19 | $622.69 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 84 | $299.36 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 159 | $154.51 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 191 | $154.51 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $152.23 |
| 99442 | <1% | 39 | $20.00 | |
| 81003 | <1% | 886 | $2.03 | |
| 3078F | 0% | 3,799 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 201 | $0.00 |
| 1159F | 0% | 4,162 | $0.00 | |
| 1160F | 0% | 4,005 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 19 | $0.00 |
| 91300 | 0% | 21 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 33 | $0.00 |
| 90734 | 0% | 30 | $0.00 | |
| 3077F | 0% | 14 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 21 | $0.00 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 0% | 15 | $0.00 |
| 90746 | 0% | 18 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 12 | $0.00 |
| 3074F | 0% | 4,899 | $0.00 | |
| 3079F | 0% | 1,993 | $0.00 | |
| 1036F | 0% | 3,137 | $0.00 | |
| 1034F | 0% | 2,447 | $0.00 | |
| 1125F | 0% | 1,853 | $0.00 | |
| 1126F | 0% | 2,193 | $0.00 | |
| 3075F | 0% | 538 | $0.00 | |
| 1035F | 0% | 639 | $0.00 | |
| 3044F | 0% | 195 | $0.00 | |
| 99000 | 0% | 1,380 | $0.00 | |
| 87807 | 0% | 70 | $0.00 | |
| 92250 | 0% | 15 | $0.00 | |
| 90651 | 0% | 27 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 73 | $0.00 |
| 90656 | 0% | 12 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 45 | $0.00 |
| 99406 | 0% | 28 | $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 officialPOTASNIK, DORA (CREDENTIALING)
Parent organizationCOMMUNITY CARE OF WEST VIRGINIA, INC.
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.