COMMUNITY CARE OF WEST VIRGINIA, INC.
NPI: 1194073486
· GREEN BANK, WV 24944
· Federally Qualified Health Center (FQHC)
· NPI assigned 08/17/2012
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official SIMON, RICHARD controls 11+ related entities in our dataset. Read more
$126K
Total Medicaid Paid
Provider Details
| Authorized Official | SIMON, RICHARD (CEO) |
| Parent Organization | COMMUNITY CARE OF WEST VIRGINIA, INC. |
| NPI Enumeration Date | 08/17/2012 |
Related Entities
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. |
SUTTON |
WV |
$156K |
| COMMUNITY CARE OF WEST VIRGINIA, INC. |
BUCKHANNON |
WV |
$129K |
| 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
| Year | Claims | Total Paid |
|---|
| 2018 |
199 |
$18K |
| 2019 |
60 |
$3K |
| 2020 |
43 |
$6K |
| 2021 |
41 |
$4K |
| 2022 |
123 |
$19K |
| 2023 |
288 |
$47K |
| 2024 |
122 |
$29K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
655 |
537 |
$123K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
179 |
148 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
12 |
$65.28 |
| 90686 |
|
15 |
12 |
$0.00 |
| 92551 |
|
12 |
12 |
$0.00 |