Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Community Care of West Virginia, INC.

Community Care of West Virginia, INC. was paid $10K by Medicaid between Oct 2018 and Oct 2022, across 5 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.

33Billing provider infoCOMMUNITY CARE OF WEST VIRGINIA, INC.
SUTTON, WV 26601
33aNPI1053821363assigned 10/02/2017
28Total paid$10K
24GClaims213
24DCodes billed5
24AFirst – last monthOct 2018 – Oct 2022
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in West Virginia

Rank by total paid#179 of 205
Median peer was paid$521K
This provider vs. median0.0×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
201821$2K
201990$3K
2022102$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 94% 75 42 $9K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5.1% 67 50 $494.45
90686 <1% 28 16 $68.94
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 0% 23 12 $0.00
90656 0% 20 20 $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 COORDINATORY)
Parent organizationCOMMUNITY CARE OF WEST VIRGINIA, INC.
Same official

Other billing entities under POTASNIK, DORA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.