Medicaid Provider Spending

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

COMMUNITY CARE OF WEST VIRGINIA, INC.

NPI: 1104175058 · SUTTON, WV 26601 · Federally Qualified Health Center (FQHC) · NPI assigned 09/06/2012

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

Authorized official SIMON, RICHARD controls 11+ related entities in our dataset. Read more

$156K
Total Medicaid Paid
1,798
Total Claims
1,435
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSIMON, RICHARD (CEO)
Parent OrganizationCOMMUNITY CARE OF WEST VIRGINIA, INC.
NPI Enumeration Date09/06/2012

Related Entities

Other providers sharing the same authorized official: SIMON, RICHARD

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 221 $21K
2019 442 $36K
2020 221 $15K
2021 105 $366.48
2022 275 $20K
2023 166 $16K
2024 368 $48K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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