Medicaid Provider Spending

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

COMMUNITY CARE OF WEST VIRGINIA, INC.

NPI: 1669422432 · CLAY, WV 25043 · Federally Qualified Health Center (FQHC) · NPI assigned 05/11/2006

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

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

$900K
Total Medicaid Paid
11,297
Total Claims
8,150
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPOTASNIK, DORA (CREDENTIALING)
Parent OrganizationCOMMUNITY CARE OF WEST VIRGINIA, INC.
NPI Enumeration Date05/11/2006

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. 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. 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 667 $51K
2019 837 $55K
2020 952 $51K
2021 612 $38K
2022 2,722 $206K
2023 3,469 $309K
2024 2,038 $189K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 4,205 2,822 $848K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,319 2,335 $25K
87428 409 369 $10K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,420 1,073 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 497 424 $5K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 130 121 $5K
90686 424 357 $260.56
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 141 112 $5.00
92551 163 130 $0.00
90656 62 62 $0.00
1036F 58 45 $0.00
3074F 70 54 $0.00
1159F 70 54 $0.00
90832 Psychotherapy, 30 minutes with patient 152 51 $0.00
3078F 68 53 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 39 34 $0.00
1160F 70 54 $0.00