Medicaid Provider Spending

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

COMMUNITY CARE OF WEST VIRGINIA, INC.

NPI: 1063048189 · BUCKHANNON, WV 26201 · Federally Qualified Health Center (FQHC) · NPI assigned 03/20/2020

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

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

$3.49M
Total Medicaid Paid
39,610
Total Claims
20,051
Beneficiaries
24
Codes Billed
2021-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPOTASNIK, DORA (CREDENTIALING COORDINATOR)
NPI Enumeration Date03/20/2020

Related Entities

Other providers sharing the same authorized official: POTASNIK, DORA

ProviderCityStateTotal Paid
COMMUNITY CARE OF WEST VIRGINIA, INC. CLARKSBURG WV $10.99M
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 $3.01M
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
2021 6,628 $409K
2022 12,342 $976K
2023 11,153 $1.11M
2024 9,487 $993K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 16,205 7,672 $3.48M
90853 Group psychotherapy (other than of a multiple-family group) 696 368 $7K
80305 7,514 4,287 $513.54
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,873 5,797 $374.46
H0004 Behavioral health counseling and therapy, per 15 minutes 14 12 $357.15
81025 925 602 $7.75
99205 Prolong outpt/office vis 16 13 $5.00
90837 Psychotherapy, 53 minutes with patient 1,327 575 $0.00
3078F 38 28 $0.00
1159F 131 87 $0.00
90832 Psychotherapy, 30 minutes with patient 139 94 $0.00
1160F 131 87 $0.00
90791 Psychiatric diagnostic evaluation 14 14 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 16 15 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 17 15 $0.00
H0031 Mental health assessment, by non-physician 12 12 $0.00
H0032 Mental health service plan development by non-physician 17 16 $0.00
90834 Psychotherapy, 45 minutes with patient 172 113 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 77 65 $0.00
1034F 61 35 $0.00
3079F 32 25 $0.00
1035F 49 28 $0.00
3074F 58 36 $0.00
1126F 76 55 $0.00