Medicaid Provider Spending

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

COMMUNITY CARE OF WEST VIRGINIA, INC.

NPI: 1578811857 · BUCKHANNON, WV 26201 · Federally Qualified Health Center (FQHC) · NPI assigned 08/17/2012

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

Authorized official SIMON, RICHARD controls 11+ related entities in our dataset. Read more

$129K
Total Medicaid Paid
1,351
Total Claims
1,080
Beneficiaries
13
Codes Billed
2018-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSIMON, RICHARD (CEO)
Parent OrganizationCOMMUNITY CARE OF WEST VIRGINIA, INC.
NPI Enumeration Date08/17/2012

Related Entities

Other providers sharing the same authorized official: SIMON, RICHARD

ProviderCityStateTotal 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 $324K
COMMUNITY CARE OF WEST VIRGINIA, INC. SUTTON WV $156K
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

YearClaimsTotal Paid
2018 59 $4K
2019 311 $33K
2020 218 $21K
2021 46 $3K
2022 275 $19K
2023 270 $17K
2024 172 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 729 515 $126K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 137 121 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 87 78 $1K
92551 103 94 $889.68
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 31 26 $211.00
90686 103 93 $23.47
90656 12 12 $17.41
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 85 77 $0.00
1160F 13 13 $0.00
3078F 12 12 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14 14 $0.00
1159F 13 13 $0.00
3074F 12 12 $0.00