Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COMMUNITY CARE OF WEST VIRGINIA, INC.

NPI: 1558563734 · WEST MILFORD, WV 26451 · Federally Qualified Health Center (FQHC) · NPI assigned 06/01/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official POTASNIK, DORA controls 20+ related entities in our dataset. Read more

$4.39M
Total Medicaid Paid
101,182
Total Claims
86,328
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPOTASNIK, DORA (CREDENTIALING COORDINATOR)
Parent OrganizationCOMMUNITY CARE OF WEST VIRGINIA, INC.
NPI Enumeration Date06/01/2007

Related Entities

Other providers sharing the same authorized official: POTASNIK, DORA

ProviderCityStateTotal Paid
COMMUNITY CARE OF WEST VIRGINIA, INC. CLARKSBURG WV $10.99M
COMMUNITY CARE OF WEST VIRGINIA, INC. BRIDGEPORT WV $9.34M
COMMUNITY CARE OF WEST VIRGINIA, INC. CLAY WV $9.10M
COMMUNITY CARE OF WEST VIRGINIA, INC. ROCK CAVE WV $7.68M
COMMUNITY CARE OF WEST VIRGINIA, INC. WESTON WV $6.33M
COMMUNITY CARE OF WEST VIRGINIA, INC. BUCKHANNON WV $5.08M
COMMUNITY CARE OF WEST VIRGINIA, INC. SUTTON WV $4.88M
COMMUNITY CARE OF WEST VIRGINIA, INC. SUTTON WV $4.12M
COMMUNITY CARE OF WEST VIRGINIA, INC. BUCKHANNON WV $3.49M
COMMUNITY CARE OF WEST VIRGINIA, INC. BUCKHANNON WV $3.01M
COMMUNITY CARE OF WEST VIRGINIA, INC. BRIDGEPORT WV $2.63M
COMMUNITY CARE OF WEST VIRGINIA, INC. WESTON WV $2.16M
COMMUNITY CARE OF WEST VIRGINIA, INC. IVYDALE WV $1.73M
COMMUNITY CARE OF WEST VIRGINIA, INC. MARLINTON WV $1.49M
COMMUNITY CARE OF WEST VIRGINIA, INC. CLAY WV $900K
COMMUNITY CARE OF WEST VIRGINIA, INC. BUCKHANNON WV $865K
COMMUNITY CARE OF WEST VIRGINIA, INC. WESTON WV $599K
COMMUNITY CARE OF WEST VIRGINIA, INC. CLAY WV $251K
COMMUNITY CARE OF WEST VIRGINIA INC CLAY WV $214K
COMMUNITY CARE OF WEST VIRGINIA, INC. LUMBERPORT WV $207K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,512 $157K
2019 1,411 $87K
2020 4,060 $258K
2021 6,130 $306K
2022 20,260 $1.08M
2023 31,365 $1.35M
2024 35,444 $1.15M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 29,387 24,597 $4.29M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,522 3,833 $34K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20,634 17,492 $25K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 184 169 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 272 254 $6K
36415 Collection of venous blood by venipuncture 145 135 $5K
87428 123 114 $4K
90686 87 87 $3K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 55 54 $2K
G8754 Most recent diastolic blood pressure < 90 mmhg 166 141 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 16 14 $1K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 168 157 $1K
G8752 Most recent systolic blood pressure < 140 mmhg 139 115 $772.00
92551 31 28 $452.00
1160F 4,720 4,019 $0.00
3078F 7,045 6,134 $0.00
G0444 Annual depression screening, 5 to 15 minutes 206 183 $0.00
1159F 5,287 4,533 $0.00
3051F 54 48 $0.00
3077F 357 304 $0.00
1090F 78 58 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 83 78 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 33 31 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 18 17 $0.00
3074F 7,025 6,140 $0.00
1036F 4,690 4,051 $0.00
3044F 556 476 $0.00
1125F 7,778 6,720 $0.00
3079F 1,249 1,105 $0.00
1035F 717 588 $0.00
1034F 2,955 2,491 $0.00
3075F 966 840 $0.00
1126F 501 440 $0.00
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 63 62 $0.00
99000 408 388 $0.00
3352F 268 259 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 45 36 $0.00
3353F 42 41 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 95 82 $0.00
83036 Hemoglobin; glycosylated (A1C) 14 14 $0.00