Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Community Care of West Virginia, INC.

Community Care of West Virginia, INC. was paid $40K by Medicaid between Mar 2018 and Oct 2024, across 5 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.

33Billing provider infoCOMMUNITY CARE OF WEST VIRGINIA, INC.
LOST CREEK, WV 26385
33aNPI1699024547assigned 09/06/2012
28Total paid$40K
24GClaims366
24DCodes billed5
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in West Virginia

Rank by total paid#160 of 205
Median peer was paid$521K
This provider vs. median0.1×

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.

Entity ProliferationAuthorized official POTASNIK, DORA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.5K$5.0K$7.5K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201814$2K
202013$2K
202281$5K
202393$11K
2024incomplete165$21K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 99% 183 154 $40K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.4% 54 47 $562.08
90686 <1% 57 47 $22.60
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 0% 12 12 $0.00
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 0% 60 57 $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.

From NPPES

Who's on the registration

Authorized officialPOTASNIK, DORA (CREDENTIALING COORDINATOR)
Parent organizationCOMMUNITY CARE OF WEST VIRGINIA, INC.
Same official

Other billing entities under POTASNIK, DORA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.