Community Health Systems, INC.
Community Health Systems, INC. was paid $2.32M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 83% of everything it billed.
DANIELS, WV 25832
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 10,983 | $536K | |
| 2019 | 4,553 | $184K | |
| 2020 | 7,673 | $303K | |
| 2021 | 7,726 | $297K | |
| 2022 | 10,018 | $381K | |
| 2023 | 8,419 | $346K | |
| 2024incomplete | 6,795 | $267K |
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 | 83% | 19,835 | 17,138 | $1.93M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.6% | 11,954 | 10,519 | $153K |
| 99000 | 3.6% | 9,018 | 8,159 | $84K | |
| 36415 | Collection of venous blood by venipuncture | 3.0% | 8,133 | 7,391 | $69K |
| 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 | 1.0% | 3,675 | 3,394 | $24K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 438 | 386 | $16K |
| 90686 | <1% | 542 | 512 | $11K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 345 | 312 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 887 | 777 | $6K |
| 92551 | <1% | 125 | 122 | $3K | |
| 99173 | <1% | 149 | 145 | $3K | |
| 90715 | <1% | 20 | 19 | $2K |
10 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 33 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 58 | $986.94 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 22 | $958.86 |
| G0467 | Community health center visit, returning patient | <1% | 243 | $0.35 |
| 87430 | 0% | 85 | $0.00 | |
| 96127 | 0% | 274 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 38 | $0.00 |
| 90733 | 0% | 14 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 177 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 102 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Community Health Systems, INC. | Beckley, WV | $35.02M |
| Community Health Systems, INC. | Beckley, WV | $11.84M |
| 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.