Medicaid Provider Spending

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

COMMUNITY CARE OF WEST VIRGINIA, INC.

NPI: 1164557237 · GREEN BANK, WV 24944 · Federally Qualified Health Center (FQHC) · NPI assigned 02/22/2007

$1.10M
Total Medicaid Paid
12,740
Total Claims
10,685
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSIMMONS, CONNIE (COO CFO)
Parent OrganizationCOMMUNITY CARE OF WEST VIRGINIA, INC.
NPI Enumeration Date02/22/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,081 $124K
2019 1,111 $56K
2020 1,554 $91K
2021 1,555 $103K
2022 1,727 $187K
2023 3,022 $321K
2024 1,690 $214K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 6,534 5,289 $1.02M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,455 2,089 $31K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,400 1,150 $21K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 255 235 $10K
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 565 550 $4K
G8752 Most recent systolic blood pressure < 140 mmhg 91 77 $4K
G8754 Most recent diastolic blood pressure < 90 mmhg 91 78 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 52 51 $2K
87428 41 38 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 41 39 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 46 44 $761.15
3078F 89 79 $0.00
1159F 275 242 $0.00
1160F 275 242 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 51 50 $0.00
3074F 230 209 $0.00
1036F 91 82 $0.00
1125F 91 84 $0.00
1126F 49 39 $0.00
99000 18 18 $0.00