NPI: 1104175058 · SUTTON, WV 26601 · Federally Qualified Health Center (FQHC) · NPI assigned 09/06/2012
Authorized official SIMON, RICHARD controls 11+ related entities in our dataset. Read more
| Authorized Official | SIMON, RICHARD (CEO) |
| Parent Organization | COMMUNITY CARE OF WEST VIRGINIA, INC. |
| NPI Enumeration Date | 09/06/2012 |
Other providers sharing the same authorized official: SIMON, RICHARD
| Provider | City | State | Total Paid |
|---|---|---|---|
| COMMUNITY CARE OF WEST VIRGINIA, INC. | BUCKHANNON | WV | $6.32M |
| COMMUNITY CARE OF WEST VIRGINIA, INC. | BUCKHANNON | WV | $606K |
| COMMUNITY CARE OF WEST VIRGINIA, INC. | SUTTON | WV | $324K |
| COMMUNITY CARE OF WEST VIRGINIA, INC. | BUCKHANNON | WV | $129K |
| COMMUNITY CARE OF WEST VIRGINIA, INC. | GREEN BANK | WV | $126K |
| COMMUNITY CARE OF WEST VIRGINIA, INC. | DUNMORE | WV | $95K |
| COMMUNITY CARE OF WEST VIRGINIA, INC. | GREEN BANK | WV | $16K |
| COMMUNITY CARE OF WEST VIRGINIA, INC. | FRENCH CREEK | WV | $13K |
| COMMUNITY CARE OF WEST VIRGINIA, INC. | LOST CREEK | WV | $6K |
| COMMUNITY CARE OF WEST VIRGINIA, INC. | MARLINTON | WV | $1K |
| WOLFE-SIMON MEDICAL ASSOCIATES PA | CHERRY HILL | NJ | $599.76 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 221 | $21K |
| 2019 | 442 | $36K |
| 2020 | 221 | $15K |
| 2021 | 105 | $366.48 |
| 2022 | 275 | $20K |
| 2023 | 166 | $16K |
| 2024 | 368 | $48K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 886 | 648 | $148K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 377 | 331 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 234 | 201 | $2K |
| 87428 | 27 | 20 | $889.66 | |
| 0071A | 13 | 13 | $522.00 | |
| 90656 | 51 | 50 | $100.63 | |
| 91307 | 13 | 13 | $0.00 | |
| 90686 | 136 | 112 | $0.00 | |
| 90832 | Psychotherapy, 30 minutes with patient | 16 | 13 | $0.00 |
| 90837 | Psychotherapy, 53 minutes with patient | 24 | 13 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 21 | 21 | $0.00 |