Clinic
Community Health Systems, INC.
Community Health Systems, INC. was paid $563K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 86% of everything it billed.
33Billing provider infoCOMMUNITY HEALTH SYSTEMS, INC.
GLEN DANIEL, WV 25844
GLEN DANIEL, WV 25844
33aNPI1922204643assigned 06/21/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$563K
24GClaims17,987
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in West Virginia
Rank by total paid#102 of 205
Median peer was paid$521K
This provider vs. median1.1×
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 HUNT, CHARLES controls 15+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,765 | $100K | |
| 2019 | 1,247 | $30K | |
| 2020 | 2,091 | $61K | |
| 2021 | 2,861 | $88K | |
| 2022 | 2,944 | $83K | |
| 2023 | 3,211 | $100K | |
| 2024incomplete | 2,868 | $100K |
Box 24 · Service lines
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 | 86% | 5,730 | 4,959 | $483K |
| 99000 | 4.0% | 3,980 | 3,565 | $23K | |
| 36415 | Collection of venous blood by venipuncture | 3.7% | 3,408 | 3,096 | $21K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 2,293 | 1,962 | $21K |
| 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 | 2.1% | 1,782 | 1,693 | $12K |
| 90686 | <1% | 197 | 191 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 61 | 58 | $733.78 |
| 90715 | <1% | 17 | 17 | $417.78 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 53 | 50 | $367.88 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 15 | 15 | $280.80 |
| G0467 | Community health center visit, returning patientFederally 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 | <1% | 117 | 99 | $0.67 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 49 | 41 | $0.00 |
10 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 54 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 16 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 99 | $0.00 |
| 87430 | 0% | 15 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 14 | $0.00 |
| 90732 | 0% | 14 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 15 | $0.00 |
| 96127 | 0% | 31 | $0.00 | |
| 90656 | 0% | 15 | $0.00 | |
| 90632 | 0% | 12 | $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 officialHUNT, CHARLES (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Community Health Systems, INC. | Beckley, WV | $35.02M |
| Community Health Systems, INC. | Beckley, WV | $11.84M |
| 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. | 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.