Best Case Scenario
Best Case Scenario was paid $1.37M by Medicaid between Jun 2021 and Dec 2024, across 1 billing code. Its largest line is G9002, Coordinated care fee, maintenance rate — 100% of everything it billed.
POCA, WV 25159
Next to other Case Management Agency 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 | |
|---|---|---|---|
| 2021 | 726 | $162K | |
| 2022 | 1,702 | $360K | |
| 2023 | 1,938 | $412K | |
| 2024incomplete | 2,048 | $432K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9002 | Coordinated care fee, maintenance rate | 100% | 6,414 | 6,312 | $1.37M |
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 |
|---|---|---|
| Jones Medical Supply, LLC | Troy, AL | $167K |
| Bright Smiles Orthodontics | Amherst, NY | $33K |
| Children's Resource Center | Cody, WY | $19K |
| Central Counties Health Centers, INC. | Springfield, IL | $3K |
| Jones Eye Center PC | Sioux City, IA | $174.48 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.