Medicaid Provider Spending

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

COMMUNITY CARE OF WEST VIRGINIA, INC.

NPI: 1073944658 · WESTON, WV 26452 · 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

$2.16M
Total Medicaid Paid
29,995
Total Claims
24,561
Beneficiaries
37
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. 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 $3.49M
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. 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 6,797 $437K
2019 133 $17K
2020 1,878 $147K
2021 2,597 $208K
2022 891 $96K
2023 4,118 $304K
2024 13,581 $953K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 11,461 8,582 $1.95M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,411 5,583 $102K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 792 674 $36K
87428 1,315 1,242 $20K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,721 1,560 $19K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 195 175 $10K
81002 128 112 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 127 96 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 89 88 $5K
90686 29 29 $1K
90837 Psychotherapy, 53 minutes with patient 1,510 790 $1K
99173 28 27 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 20 19 $776.37
90834 Psychotherapy, 45 minutes with patient 424 275 $715.60
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 17 14 $643.30
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 19 18 $631.30
92551 15 15 $608.92
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 84 73 $560.23
82962 12 12 $471.91
81025 12 12 $457.07
3078F 1,054 980 $0.00
1160F 470 440 $0.00
1159F 470 440 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 107 94 $0.00
90791 Psychiatric diagnostic evaluation 13 13 $0.00
81003 17 16 $0.00
90832 Psychotherapy, 30 minutes with patient 169 118 $0.00
1036F 705 639 $0.00
1125F 737 692 $0.00
1126F 269 260 $0.00
1035F 102 95 $0.00
3074F 1,078 1,000 $0.00
1034F 227 219 $0.00
3352F 42 38 $0.00
3079F 73 70 $0.00
87807 14 12 $0.00
3075F 39 39 $0.00