COMMUNITY CARE OF WEST VIRGINIA, INC.
NPI: 1396096863
· SUTTON, WV 26601
· Federally Qualified Health Center (FQHC)
· NPI assigned 09/25/2012
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official SIMON, RICHARD controls 11+ related entities in our dataset. Read more
$324K
Total Medicaid Paid
Provider Details
| Authorized Official | SIMON, RICHARD (CEO) |
| Parent Organization | COMMUNITY CARE OF WEST VIRGINIA, INC. |
| NPI Enumeration Date | 09/25/2012 |
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 |
$156K |
| 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
| Year | Claims | Total Paid |
|---|
| 2018 |
514 |
$47K |
| 2019 |
488 |
$45K |
| 2020 |
169 |
$10K |
| 2021 |
76 |
$3K |
| 2022 |
336 |
$24K |
| 2023 |
831 |
$87K |
| 2024 |
739 |
$107K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,660 |
1,115 |
$309K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
737 |
615 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
259 |
217 |
$2K |
| 87428 |
|
48 |
47 |
$1K |
| 90656 |
|
63 |
62 |
$100.63 |
| 90686 |
|
176 |
143 |
$75.09 |
| 1159F |
|
18 |
17 |
$0.00 |
| 3078F |
|
33 |
31 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
46 |
$0.00 |
| 1160F |
|
18 |
17 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
46 |
24 |
$0.00 |
| 3074F |
|
33 |
31 |
$0.00 |
| 1036F |
|
14 |
13 |
$0.00 |