Clinic
Community Health Systems, INC.
Community Health Systems, INC. was paid $35.02M by Medicaid between Jan 2018 and Dec 2024, across 170 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 70% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH SYSTEMS, INC.
BECKLEY, WV 25801
BECKLEY, WV 25801
33aNPI1588738538assigned 11/20/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$35.02M
24GClaims789,148
24DCodes billed170
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#2 of 205
Median peer was paid$521K
This provider vs. median67×
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.
Entity ProliferationAuthorized official HUNT, CHARLES controls 15+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2018 | 132,637 | $6.73M | |
| 2019 | 62,776 | $2.72M | |
| 2020 | 119,397 | $4.61M | |
| 2021 | 107,527 | $4.36M | |
| 2022 | 127,254 | $5.57M | |
| 2023 | 124,297 | $5.71M | |
| 2024incomplete | 115,260 | $5.32M |
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 | 70% | 223,979 | 187,105 | $24.34M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.0% | 126,373 | 109,859 | $1.41M |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.3% | 12,233 | 8,340 | $798K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 2.0% | 990 | 953 | $717K |
| 76830 | Ultrasound, transvaginal | 1.3% | 6,340 | 6,022 | $465K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1.3% | 9,015 | 8,635 | $449K |
| 99000 | 1.2% | 55,812 | 50,409 | $403K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.0% | 9,144 | 2,466 | $361K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 3,401 | 3,195 | $305K |
| 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% | 32,608 | 29,827 | $301K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 2,826 | 2,310 | $294K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 5,220 | 2,608 | $286K |
158 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 38,720 | $277K |
| 76801 | <1% | 3,984 | $268K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 4,645 | $244K |
| 99223 | Prolong inpt eval add15 m | <1% | 2,191 | $232K |
| 76641 | <1% | 2,904 | $186K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 2,505 | $185K |
| 59514 | <1% | 232 | $151K | |
| 76857 | <1% | 3,491 | $146K | |
| 76536 | <1% | 2,043 | $143K | |
| 80053 | Comprehensive metabolic panel | <1% | 17,537 | $122K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 8,465 | $122K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 6,240 | $109K |
| 80061 | Lipid panel | <1% | 12,654 | $108K |
| 90686 | <1% | 6,981 | $108K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12,303 | $99K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 16,798 | $99K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 6,594 | $84K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 1,048 | $82K |
| 99173 | <1% | 8,239 | $81K | |
| 92551 | <1% | 8,201 | $78K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 8,719 | $74K |
| 99283 | Emergency room visit (moderate) | <1% | 1,509 | $70K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 1,170 | $69K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,062 | $66K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,722 | $65K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 1,602 | $64K |
| 90670 | <1% | 2,774 | $63K | |
| 90461 | <1% | 3,988 | $62K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 4,653 | $61K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 8,539 | $56K |
| 94760 | <1% | 2,839 | $54K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,008 | $51K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 771 | $42K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 446 | $40K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,793 | $39K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 5,053 | $38K |
| 77066 | Tomosynthesis, mammo | <1% | 603 | $38K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 2,724 | $33K |
| 90633 | <1% | 1,436 | $33K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 586 | $32K |
| 90723 | <1% | 1,706 | $32K | |
| 90647 | <1% | 1,603 | $30K | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 1,577 | $30K |
| 90715 | <1% | 1,396 | $29K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,534 | $29K |
| 76770 | <1% | 401 | $27K | |
| 90651 | <1% | 488 | $27K | |
| 76820 | <1% | 917 | $26K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 829 | $26K |
| 90837 | Psychotherapy session, about an hour | <1% | 1,671 | $26K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 338 | $24K |
| 93971 | <1% | 960 | $24K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,668 | $23K |
| 90681 | <1% | 858 | $23K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 1,574 | $22K |
| 59025 | Fetal non-stress test | <1% | 1,120 | $21K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,457 | $21K |
| 93320 | <1% | 1,036 | $20K | |
| 96127 | <1% | 5,986 | $19K | |
| 76821 | <1% | 286 | $18K | |
| 84439 | <1% | 2,934 | $17K | |
| 93325 | <1% | 1,135 | $17K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 1,782 | $16K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,120 | $16K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 359 | $15K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 388 | $15K |
| 90698 | <1% | 277 | $15K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 547 | $15K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,172 | $14K |
| 87430 | <1% | 6,722 | $14K | |
| 80050 | General health panel | <1% | 402 | $13K |
| 90649 | <1% | 282 | $13K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 171 | $12K |
| 81025 | <1% | 740 | $11K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 613 | $11K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 330 | $10K |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 534 | $10K |
| 90632 | <1% | 137 | $10K | |
| 90707 | <1% | 322 | $9K | |
| 90710 | <1% | 399 | $9K | |
| 90716 | <1% | 340 | $8K | |
| 90733 | <1% | 361 | $8K | |
| 77080 | <1% | 409 | $8K | |
| 99381 | <1% | 754 | $8K | |
| 54150 | <1% | 121 | $8K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 236 | $7K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 378 | $7K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 250 | $7K |
| 90744 | <1% | 96 | $7K | |
| G0008 | Administration of influenza virus vaccine | <1% | 1,064 | $6K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 335 | $6K |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 159 | $5K |
| 87400 | <1% | 1,906 | $5K | |
| 90685 | <1% | 76 | $4K | |
| 90696 | <1% | 278 | $4K | |
| 86769 | <1% | 316 | $4K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 105 | $3K |
| 69210 | <1% | 101 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 81 | $3K |
| 77065 | Tomosynthesis, mammo | <1% | 66 | $3K |
| 99385 | <1% | 111 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 332 | $2K |
| 90680 | <1% | 43 | $2K | |
| 99383 | <1% | 89 | $2K | |
| 90656 | <1% | 463 | $2K | |
| 0011A | <1% | 325 | $2K | |
| 0012A | <1% | 211 | $2K | |
| 90620 | <1% | 51 | $2K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 367 | $1K |
| 81001 | <1% | 324 | $1K | |
| 81002 | <1% | 1,158 | $1K | |
| 90700 | <1% | 173 | $1K | |
| 99217 | <1% | 26 | $1K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 68 | $1K |
| 99384 | <1% | 34 | $958.86 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 2,206 | $899.56 |
| 90732 | <1% | 77 | $849.28 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 152 | $785.49 |
| 0031A | <1% | 52 | $750.00 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 144 | $695.15 |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 3,629 | $681.00 |
| 99441 | <1% | 199 | $627.79 | |
| 85018 | <1% | 277 | $559.39 | |
| 0004A | <1% | 24 | $400.00 | |
| 0064A | <1% | 70 | $360.00 | |
| 0002A | <1% | 78 | $360.00 | |
| 85014 | <1% | 162 | $334.22 | |
| 99307 | <1% | 923 | $321.17 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 12 | $287.32 |
| G0009 | Administration of pneumococcal vaccine | <1% | 14 | $278.06 |
| 99305 | <1% | 213 | $273.96 | |
| 85610 | <1% | 55 | $244.91 | |
| 0071A | <1% | 104 | $240.00 | |
| 80069 | <1% | 50 | $233.49 | |
| 0072A | <1% | 88 | $160.00 | |
| 0001A | <1% | 64 | $160.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 167 | $139.54 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $136.98 |
| 99442 | <1% | 49 | $103.93 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 130 | $84.60 |
| 87210 | <1% | 14 | $62.88 | |
| G0467 | Community health center visit, returning patient | <1% | 2,324 | $3.21 |
| H0033 | Oral medication administration, direct observation | 0% | 106 | $0.00 |
| 90677 | 0% | 403 | $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% | 178 | $0.00 |
| 90636 | 0% | 119 | $0.00 | |
| 96131 | 0% | 32 | $0.00 | |
| 87807 | 0% | 147 | $0.00 | |
| 3075F | 0% | 17 | $0.00 | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 0% | 728 | $0.00 |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | 0% | 56 | $0.00 |
| 96137 | 0% | 72 | $0.00 | |
| 90746 | 0% | 32 | $0.00 | |
| 99348 | 0% | 14 | $0.00 | |
| 90734 | 0% | 129 | $0.00 | |
| 99306 | Prolong nursin fac eval 15m | 0% | 27 | $0.00 |
| 96130 | 0% | 54 | $0.00 | |
| 96136 | 0% | 53 | $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 officialHUNT, CHARLES (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Community Health Systems, INC. | Beckley, WV | $11.84M |
| Community Health Systems, INC. | Daniels, WV | $2.32M |
| Community Health Systems INC. | Fayetteville, WV | $2.06M |
| Community Health Systems INC. | Beckley, WV | $1.12M |
| Community Health Systems, INC. | Glen Daniel, WV | $563K |
| Community Health Systems INC. | Beckley, WV | $324K |
| Community Health Systems, INC. | Beckley, WV | $248K |
| Community Health Systems INC. | Princeton, WV | $207K |
| Community Health Systems INC. | Williamsburg, WV | $129K |
| Community Health Systems, INC. | Beckley, WV | $121K |
| Community Health Systems INC. | Beckley, WV | $84K |
| Community Health Systems INC. | Beckley, WV | $69K |
| Community Health Systems INC. | Shady Spring, WV | $21K |
| Community Health Systems INC | Beckley, WV | $3K |
| Community Health Systems INC. | Beckley, WV | $57.18 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.