Southwestern Community Action Council
Southwestern Community Action Council was paid $1.62M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is S5130, homemaker services, billed per 15 minutes — 99% of everything it billed.
HUNTINGTON, WV 25701
Next to other Case Management Agency providers in West Virginia
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 468 | $372K | |
| 2019 | 339 | $322K | |
| 2020 | 342 | $305K | |
| 2021 | 232 | $234K | |
| 2022 | 187 | $202K | |
| 2023 | 169 | $180K | |
| 2024incomplete | 99 | $2K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5130 | Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes | 99% | 849 | 838 | $1.60M |
| T1002 | Rn services, up to 15 minutes | <1% | 987 | 974 | $14K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Southwestern Community Action Council INC | Huntington, WV | $429K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.