Clinic
West Virginia Health Care Cooperative INC
West Virginia Health Care Cooperative INC was paid $1.61M by Medicaid between Jul 2019 and Dec 2024, across 30 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoWEST VIRGINIA HEALTH CARE COOPERATIVE INC
SUMMERSVILLE, WV 26651
SUMMERSVILLE, WV 26651
33aNPI1548728553assigned 03/08/2019
33bProvider typeRural Health Clinic/Center
28Total paid$1.61M
24GClaims37,636
24DCodes billed30
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in West Virginia
Rank by total paid#16 of 49
Median peer was paid$956K
This provider vs. median1.7×
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.
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 3,760 | $158K | |
| 2020 | 5,837 | $210K | |
| 2021 | 6,220 | $208K | |
| 2022 | 5,147 | $195K | |
| 2023 | 7,938 | $374K | |
| 2024incomplete | 8,734 | $468K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 93% | 19,260 | 16,775 | $1.51M |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 1.7% | 568 | 499 | $27K |
| 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% | 2,365 | 2,098 | $16K |
| 1036F | <1% | 295 | 263 | $15K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 11,306 | 10,308 | $14K |
| 4004F | <1% | 320 | 270 | $13K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 103 | 102 | $7K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 524 | 446 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 328 | 317 | $2K |
| 90686 | <1% | 245 | 234 | $2K | |
| 99406 | <1% | 812 | 693 | $2K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 56 | 45 | $1K |
18 more codes
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 112 | $599.74 |
| 93016 | <1% | 12 | $405.00 | |
| 93018 | <1% | 12 | $404.71 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | <1% | 19 | $330.90 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 13 | $71.16 |
| 90656 | 0% | 35 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 45 | $0.00 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 932 | $0.00 |
| 99315 | 0% | 20 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 19 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 55 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 13 | $0.00 |
| 90694 | 0% | 17 | $0.00 | |
| 90653 | 0% | 18 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 91 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 14 | $0.00 |
| 95251 | 0% | 14 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 13 | $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 officialBOWLING, KAREN (PRESIDENT/CEO)
| Provider | Location | Paid |
|---|---|---|
| West Virginia Health Care Cooperative INC | Summersville, WV | $19.20M |
| City of Jacksonville | Jacksonville, FL | $17.10M |
| West Virginia Health Care Cooperative INC | Summersville, WV | $3.09M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.