Medicaid Provider Spending

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

COMMUNITY CARE OF WEST VIRGINIA, INC.

NPI: 1073562641 · CLAY, WV 25043 · Federally Qualified Health Center (FQHC) · NPI assigned 05/09/2006

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

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

$9.10M
Total Medicaid Paid
132,934
Total Claims
109,596
Beneficiaries
64
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 Date05/09/2006

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. 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 13,849 $877K
2019 6,569 $398K
2020 14,981 $810K
2021 16,361 $968K
2022 26,281 $1.99M
2023 29,021 $2.31M
2024 25,872 $1.74M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 49,794 39,283 $8.35M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,386 21,992 $243K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4,626 4,147 $166K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,209 9,535 $107K
87428 2,435 2,178 $54K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,628 2,286 $35K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,161 1,889 $20K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,037 965 $20K
81002 697 639 $18K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 1,119 1,004 $12K
90686 821 720 $9K
90472 Immunization administration, each additional vaccine (list separately) 378 361 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 560 511 $7K
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 968 897 $7K
92551 787 724 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,053 840 $6K
81025 124 118 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 196 194 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 95 91 $4K
90715 90 87 $3K
90707 77 69 $3K
90674 72 72 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 43 39 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 224 215 $2K
90670 28 28 $2K
90688 22 12 $1K
90648 13 13 $928.60
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 85 84 $761.15
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 78 69 $761.14
90633 14 14 $729.69
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13 13 $616.53
90746 14 12 $152.71
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 13 12 $55.24
92250 12 12 $51.40
1036F 1,904 1,596 $0.00
90656 27 27 $0.00
99000 1,384 1,282 $0.00
3074F 3,405 2,940 $0.00
1125F 1,755 1,483 $0.00
3075F 708 599 $0.00
3079F 576 500 $0.00
1034F 1,375 1,095 $0.00
1035F 188 130 $0.00
3044F 86 56 $0.00
G0008 Administration of influenza virus vaccine 136 130 $0.00
1126F 1,325 1,163 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 92 90 $0.00
90792 Psychiatric diagnostic evaluation with medical services 75 62 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 60 47 $0.00
90632 13 13 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 27 27 $0.00
1160F 3,030 2,511 $0.00
1159F 3,079 2,553 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 748 686 $0.00
3077F 16 13 $0.00
3078F 3,784 3,240 $0.00
G0444 Annual depression screening, 5 to 15 minutes 12 12 $0.00
99173 16 16 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 12 12 $0.00
81003 135 108 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 14 13 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 55 42 $0.00
91300 12 12 $0.00
90662 13 13 $0.00