Medicaid Provider Spending

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

COMMUNITY CARE OF WEST VIRGINIA, INC.

NPI: 1619464369 · WESTON, WV 26452 · Federally Qualified Health Center (FQHC) · NPI assigned 04/18/2018

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

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

$6.33M
Total Medicaid Paid
92,128
Total Claims
78,396
Beneficiaries
49
Codes Billed
2018-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPOTASNIK, DORA (CREDENTIALING COORDINATOR)
NPI Enumeration Date04/18/2018

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. 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 666 $68K
2019 5,955 $377K
2020 12,089 $679K
2021 16,425 $984K
2022 20,964 $1.78M
2023 22,938 $1.68M
2024 13,091 $763K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 34,933 28,619 $6.04M
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,942 2,526 $89K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,501 17,110 $67K
87428 1,774 1,624 $49K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,878 6,863 $30K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,349 2,086 $11K
81002 695 624 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,036 884 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 544 514 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 520 473 $5K
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 639 602 $4K
90686 398 349 $4K
82962 69 64 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 357 285 $2K
81025 83 76 $1K
92551 40 39 $1K
86308 16 16 $728.02
90837 Psychotherapy, 53 minutes with patient 130 69 $132.52
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 177 161 $20.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 143 118 $15.00
90472 Immunization administration, each additional vaccine (list separately) 28 24 $13.44
1159F 1,982 1,784 $0.00
99215 Prolong outpt/office vis 93 78 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 612 555 $0.00
3078F 2,049 1,862 $0.00
1160F 1,881 1,699 $0.00
81003 92 71 $0.00
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 67 62 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 54 42 $0.00
90832 Psychotherapy, 30 minutes with patient 17 14 $0.00
90791 Psychiatric diagnostic evaluation 22 20 $0.00
3077F 16 15 $0.00
90715 12 12 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 18 13 $0.00
1035F 98 93 $0.00
1126F 1,434 1,321 $0.00
99000 1,078 1,025 $0.00
3074F 2,360 2,144 $0.00
1125F 1,309 1,177 $0.00
3079F 694 629 $0.00
1034F 881 773 $0.00
3075F 243 216 $0.00
1036F 1,697 1,529 $0.00
87807 53 42 $0.00
90834 Psychotherapy, 45 minutes with patient 42 30 $0.00
90651 18 15 $0.00
90656 13 13 $0.00
83036 Hemoglobin; glycosylated (A1C) 24 24 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 17 12 $0.00