Medicaid Provider Spending

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

COMMUNITY CARE OF WEST VIRGINIA, INC.

NPI: 1609042266 · SUTTON, WV 26601 · Federally Qualified Health Center (FQHC) · NPI assigned 05/05/2008

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

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

$4.12M
Total Medicaid Paid
59,509
Total Claims
50,082
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPOTASNIK, DORA (CREDENTIALING)
Parent OrganizationCOMMUNITY CARE OF WEST VIRGINIA, INC.
NPI Enumeration Date05/05/2008

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. WEST MILFORD WV $4.39M
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 7,923 $547K
2019 4,007 $269K
2020 6,590 $369K
2021 9,590 $535K
2022 15,193 $1.16M
2023 13,809 $970K
2024 2,397 $263K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 22,597 18,561 $3.65M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18,933 15,674 $225K
87428 2,381 2,216 $74K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,068 1,864 $66K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,764 4,022 $40K
81003 976 883 $17K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,058 792 $14K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 653 598 $13K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 285 268 $9K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 100 86 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 401 368 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 140 120 $485.26
81025 52 41 $304.46
99000 1,157 1,102 $157.45
3074F 831 751 $0.00
1036F 159 142 $0.00
1125F 68 68 $0.00
87807 54 40 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 36 29 $0.00
1126F 15 14 $0.00
1034F 15 14 $0.00
90792 Psychiatric diagnostic evaluation with medical services 13 13 $0.00
3078F 791 721 $0.00
1160F 743 697 $0.00
1159F 741 695 $0.00
80305 478 303 $0.00