Community Health Systems, INC.
Community Health Systems, INC. was paid $11.84M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 89% of everything it billed.
BECKLEY, WV 25801
Next to other Obstetrics & Gynecology Physician 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 | 30,640 | $2.24M | |
| 2019 | 9,754 | $720K | |
| 2020 | 27,517 | $1.75M | |
| 2021 | 23,895 | $1.58M | |
| 2022 | 24,403 | $1.78M | |
| 2023 | 26,705 | $1.97M | |
| 2024incomplete | 28,319 | $1.80M |
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 | 89% | 85,519 | 65,101 | $10.51M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.0% | 52,580 | 38,384 | $832K |
| 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% | 5,894 | 5,559 | $75K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,174 | 3,818 | $75K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 3,561 | 3,418 | $58K |
| 59430 | <1% | 1,373 | 1,282 | $39K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,592 | 1,556 | $25K |
| 90715 | <1% | 1,171 | 1,128 | $24K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 345 | 223 | $22K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 1,080 | 1,031 | $21K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 597 | 563 | $19K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 305 | 292 | $16K |
23 more codes
| 59025 | Fetal non-stress test | <1% | 405 | $15K |
| 57454 | <1% | 212 | $14K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 237 | $13K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 315 | $12K |
| 99385 | <1% | 548 | $11K | |
| 90686 | <1% | 485 | $11K | |
| 58100 | <1% | 321 | $10K | |
| 81002 | <1% | 1,428 | $9K | |
| 81025 | <1% | 904 | $8K | |
| 58301 | <1% | 90 | $4K | |
| 99000 | <1% | 3,386 | $4K | |
| 99386 | <1% | 228 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 600 | $3K |
| 76801 | <1% | 32 | $2K | |
| 58300 | <1% | 29 | $2K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,101 | $2K |
| 87210 | <1% | 68 | $358.12 | |
| 96127 | <1% | 1,323 | $5.90 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 312 | $0.00 |
| 99406 | 0% | 213 | $0.00 | |
| 90656 | 0% | 21 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 600 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 184 | $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. | Daniels, WV | $2.32M |
| 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.