Agency
Potomac Comprehensive Diagnostic and Guidance Center INC
Potomac Comprehensive Diagnostic and Guidance Center INC was paid $762K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is G9002, Coordinated care fee, maintenance rate — 83% of everything it billed.
33Billing provider infoPOTOMAC COMPREHENSIVE DIAGNOSTIC AND GUIDANCE CENTER INC
ROMNEY, WV 26757
ROMNEY, WV 26757
33aNPI1972692655assigned 10/12/2006
33bProvider typeCase Management Agency
28Total paid$762K
24GClaims4,397
24DCodes billed3
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in West Virginia
Rank by total paid#22 of 72
Median peer was paid$365K
This provider vs. median2.1×
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.
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 | 387 | $39K | |
| 2019 | 325 | $35K | |
| 2020 | 512 | $43K | |
| 2021 | 705 | $128K | |
| 2022 | 727 | $156K | |
| 2023 | 850 | $179K | |
| 2024incomplete | 891 | $181K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9002 | Coordinated care fee, maintenance rate | 83% | 2,959 | 2,953 | $631K |
| T1016 | Case management, each 15 minutes | 16% | 1,340 | 1,304 | $125K |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | <1% | 98 | 96 | $7K |
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 officialPLOWRIGHT, DAVID (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Potomac Comprehensive Diagnostic and Guidance Center INC | Romney, WV | $71K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.