Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Community Care of West Virginia, INC.

Community Care of West Virginia, INC. was paid $88K by Medicaid between May 2018 and Oct 2024, across 5 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 98% of everything it billed.

33Billing provider infoCOMMUNITY CARE OF WEST VIRGINIA, INC.
CLARKSBURG, WV 26301
33aNPI1356780639assigned 06/19/2013
28Total paid$88K
24GClaims683
24DCodes billed5
24AFirst – last monthMay 2018 – Oct 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in West Virginia

Rank by total paid#147 of 205
Median peer was paid$521K
This provider vs. median0.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official POTASNIK, DORA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201899$9K
2019102$10K
202098$10K
202117$3K
2022107$17K
2023104$13K
2024incomplete156$26K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 98% 460 414 $86K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.4% 107 98 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 49 47 $433.85
90686 <1% 54 48 $25.03
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 0% 13 12 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialPOTASNIK, DORA (CREDENTIALING)
Parent organizationCOMMUNITY CARE OF WEST VIRGINIA, INC.
Same official

Other billing entities under POTASNIK, DORA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.