Medicaid Provider Spending

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

COMMUNITY CARE OF WEST VIRGINIA, INC.

NPI: 1619348844 · BRIDGEPORT, WV 26330 · Federally Qualified Health Center (FQHC) · NPI assigned 10/14/2015

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

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

$9.34M
Total Medicaid Paid
114,070
Total Claims
83,725
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPOTASNIK, DORA (CREDENTIALING)
NPI Enumeration Date10/14/2015

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. 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. 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 13,459 $771K
2019 8,609 $427K
2020 23,646 $1.39M
2021 21,932 $1.28M
2022 15,161 $1.49M
2023 17,457 $2.18M
2024 13,806 $1.81M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 58,853 40,782 $8.90M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31,534 26,281 $280K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,321 5,500 $78K
90792 Psychiatric diagnostic evaluation with medical services 1,522 1,368 $27K
99000 658 636 $20K
90837 Psychotherapy, 53 minutes with patient 7,527 3,548 $18K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 200 193 $7K
90834 Psychotherapy, 45 minutes with patient 2,288 1,458 $6K
90791 Psychiatric diagnostic evaluation 496 437 $5K
90853 Group psychotherapy (other than of a multiple-family group) 87 44 $1K
96101 13 12 $1K
99215 Prolong outpt/office vis 141 124 $35.00
G8752 Most recent systolic blood pressure < 140 mmhg 727 592 $18.91
90832 Psychotherapy, 30 minutes with patient 896 513 $0.00
96130 45 42 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 80 76 $0.00
1159F 273 234 $0.00
3078F 192 177 $0.00
80305 444 217 $0.00
1160F 273 234 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 98 71 $0.00
99442 22 14 $0.00
3077F 14 12 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $0.00
1034F 81 66 $0.00
1036F 119 110 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 865 697 $0.00
1126F 28 27 $0.00
3074F 140 132 $0.00
3075F 15 15 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 17 14 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 27 26 $0.00
83036 Hemoglobin; glycosylated (A1C) 15 15 $0.00
3044F 16 16 $0.00
96127 16 15 $0.00
3079F 14 14 $0.00