Medicaid Provider Spending

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

COMMUNITY CARE OF WEST VIRGINIA, INC.

NPI: 1114277050 · BUCKHANNON, WV 26201 · Federally Qualified Health Center (FQHC) · NPI assigned 09/19/2012

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

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

$3.01M
Total Medicaid Paid
40,222
Total Claims
35,961
Beneficiaries
23
Codes Billed
2023-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPOTASNIK, DORA (CREDENTIALING)
Parent OrganizationCOMMUNITY CARE OF WEST VIRGINIA, INC.
NPI Enumeration Date09/19/2012

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. 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
2023 21,217 $1.56M
2024 19,005 $1.44M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 12,855 11,167 $2.97M
87428 1,851 1,739 $35K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,070 8,823 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 17 17 $545.34
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 944 810 $336.61
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 501 448 $198.86
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,253 1,991 $148.80
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 76 56 $5.00
1126F 349 337 $0.00
1036F 1,656 1,523 $0.00
3074F 2,314 2,155 $0.00
3079F 462 440 $0.00
1035F 171 167 $0.00
1034F 366 350 $0.00
1125F 1,189 1,117 $0.00
87807 65 60 $0.00
3075F 31 28 $0.00
3352F 103 99 $0.00
1160F 1,427 1,349 $0.00
1159F 1,426 1,348 $0.00
3078F 1,914 1,779 $0.00
81003 164 140 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 18 18 $0.00