Medicaid Provider Spending

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

COMMUNITY CARE OF WEST VIRGINIA, INC.

NPI: 1053742668 · CLARKSBURG, WV 26301 · Federally Qualified Health Center (FQHC) · NPI assigned 12/06/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official POTASNIK, DORA controls 20+ related entities in our dataset. Read more

$10.99M
Total Medicaid Paid
160,547
Total Claims
137,595
Beneficiaries
62
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPOTASNIK, DORA (CREDENTIALING)
Parent OrganizationCOMMUNITY CARE OF WEST VIRGINIA, INC.
NPI Enumeration Date12/06/2013

Related Entities

Other providers sharing the same authorized official: POTASNIK, DORA

ProviderCityStateTotal Paid
COMMUNITY CARE OF WEST VIRGINIA, INC. BRIDGEPORT WV $9.34M
COMMUNITY CARE OF WEST VIRGINIA, INC. CLAY WV $9.10M
COMMUNITY CARE OF WEST VIRGINIA, INC. ROCK CAVE WV $7.68M
COMMUNITY CARE OF WEST VIRGINIA, INC. WESTON WV $6.33M
COMMUNITY CARE OF WEST VIRGINIA, INC. BUCKHANNON WV $5.08M
COMMUNITY CARE OF WEST VIRGINIA, INC. SUTTON WV $4.88M
COMMUNITY CARE OF WEST VIRGINIA, INC. WEST MILFORD WV $4.39M
COMMUNITY CARE OF WEST VIRGINIA, INC. SUTTON WV $4.12M
COMMUNITY CARE OF WEST VIRGINIA, INC. BUCKHANNON WV $3.49M
COMMUNITY CARE OF WEST VIRGINIA, INC. BUCKHANNON WV $3.01M
COMMUNITY CARE OF WEST VIRGINIA, INC. BRIDGEPORT WV $2.63M
COMMUNITY CARE OF WEST VIRGINIA, INC. WESTON WV $2.16M
COMMUNITY CARE OF WEST VIRGINIA, INC. IVYDALE WV $1.73M
COMMUNITY CARE OF WEST VIRGINIA, INC. MARLINTON WV $1.49M
COMMUNITY CARE OF WEST VIRGINIA, INC. CLAY WV $900K
COMMUNITY CARE OF WEST VIRGINIA, INC. BUCKHANNON WV $865K
COMMUNITY CARE OF WEST VIRGINIA, INC. WESTON WV $599K
COMMUNITY CARE OF WEST VIRGINIA, INC. CLAY WV $251K
COMMUNITY CARE OF WEST VIRGINIA INC CLAY WV $214K
COMMUNITY CARE OF WEST VIRGINIA, INC. LUMBERPORT WV $207K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 38,755 $2.34M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 58,186 47,807 $10.21M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 33,363 28,444 $248K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,483 10,777 $116K
87428 4,201 3,931 $104K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,301 2,847 $100K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,748 1,566 $31K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,539 1,258 $28K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,100 3,771 $23K
81002 907 835 $23K
90686 627 578 $14K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 571 453 $13K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 569 496 $13K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 700 661 $12K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 648 621 $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 1,493 1,337 $10K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,147 1,055 $8K
90837 Psychotherapy, 53 minutes with patient 140 62 $6K
36415 Collection of venous blood by venipuncture 149 131 $5K
90472 Immunization administration, each additional vaccine (list separately) 173 132 $4K
81025 110 102 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 558 523 $4K
90715 156 148 $2K
92551 264 244 $1K
90707 41 41 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 89 75 $970.74
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 19 15 $622.69
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 84 77 $299.36
G8752 Most recent systolic blood pressure < 140 mmhg 159 119 $154.51
G8754 Most recent diastolic blood pressure < 90 mmhg 191 140 $154.51
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 12 12 $152.23
99442 39 37 $20.00
81003 886 790 $2.03
3078F 3,799 3,428 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 201 189 $0.00
1159F 4,162 3,665 $0.00
1160F 4,005 3,537 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 19 15 $0.00
91300 21 18 $0.00
G0444 Annual depression screening, 5 to 15 minutes 33 26 $0.00
90734 30 27 $0.00
3077F 14 13 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 21 12 $0.00
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 15 13 $0.00
90746 18 12 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 12 12 $0.00
3074F 4,899 4,418 $0.00
3079F 1,993 1,787 $0.00
1036F 3,137 2,758 $0.00
1034F 2,447 2,167 $0.00
1125F 1,853 1,661 $0.00
1126F 2,193 1,989 $0.00
3075F 538 461 $0.00
1035F 639 582 $0.00
3044F 195 148 $0.00
99000 1,380 1,339 $0.00
87807 70 69 $0.00
92250 15 14 $0.00
90651 27 26 $0.00
G0008 Administration of influenza virus vaccine 73 60 $0.00
90656 12 12 $0.00
90834 Psychotherapy, 45 minutes with patient 45 24 $0.00
99406 28 28 $0.00