Medicaid Provider Spending

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

COMMUNITY CARE OF WEST VIRGINIA, INC.

NPI: 1891241030 · BUCKHANNON, WV 26201 · Federally Qualified Health Center (FQHC) · NPI assigned 08/28/2016

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

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

$5.08M
Total Medicaid Paid
90,642
Total Claims
75,824
Beneficiaries
61
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPOTASNIK, DORA (CREDENTIALING COORDINATOR)
NPI Enumeration Date08/28/2016

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. 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. CLAY WV $900K
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 10,865 $649K
2019 6,169 $312K
2020 12,029 $664K
2021 10,030 $594K
2022 12,713 $930K
2023 20,542 $1.15M
2024 18,294 $782K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 32,273 26,043 $4.63M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,246 12,899 $147K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,557 8,100 $143K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,503 2,212 $37K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 3,829 3,455 $26K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 711 675 $15K
90686 950 822 $14K
G8754 Most recent diastolic blood pressure < 90 mmhg 571 499 $13K
G8752 Most recent systolic blood pressure < 140 mmhg 474 420 $12K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 365 324 $6K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 148 130 $6K
81002 167 149 $5K
90674 58 57 $5K
87428 158 146 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 426 388 $4K
92551 205 193 $4K
90472 Immunization administration, each additional vaccine (list separately) 351 314 $4K
90732 33 32 $940.77
90715 110 108 $936.21
G8753 Most recent systolic blood pressure >= 140 mmhg 36 33 $909.02
81025 105 61 $507.46
99495 25 24 $471.91
99173 14 14 $304.46
90746 13 12 $149.19
90656 63 56 $118.23
92250 35 30 $15.22
90837 Psychotherapy, 53 minutes with patient 151 75 $14.45
80305 268 136 $0.00
3077F 143 104 $0.00
1160F 2,952 2,460 $0.00
3078F 3,022 2,581 $0.00
1159F 3,185 2,651 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 55 51 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 26 25 $0.00
90633 14 13 $0.00
G0444 Annual depression screening, 5 to 15 minutes 107 92 $0.00
90662 39 37 $0.00
91300 15 15 $0.00
90648 14 14 $0.00
99215 Prolong outpt/office vis 12 12 $0.00
90670 26 26 $0.00
90653 20 20 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 73 70 $0.00
3079F 1,507 1,319 $0.00
3074F 3,534 3,038 $0.00
1126F 1,152 969 $0.00
3075F 400 343 $0.00
1036F 2,698 2,226 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 14 12 $0.00
1034F 1,223 1,024 $0.00
1125F 630 497 $0.00
99000 65 63 $0.00
1035F 266 231 $0.00
G0008 Administration of influenza virus vaccine 206 192 $0.00
1111F 14 13 $0.00
3044F 210 164 $0.00
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 29 27 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 96 91 $0.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 20 12 $0.00
2023F 14 12 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 16 13 $0.00