Medicaid Provider Spending

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

COMMUNITY CARE OF WEST VIRGINIA, INC.

NPI: 1992754592 · IVYDALE, WV 25113 · Federally Qualified Health Center (FQHC) · NPI assigned 05/09/2006

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

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

$1.73M
Total Medicaid Paid
32,384
Total Claims
25,731
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPOTASNIK, DORA (CREDENTIALING)
Parent OrganizationCOMMUNITY CARE OF WEST VIRGINIA, INC.
NPI Enumeration Date05/09/2006

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. BUCKHANNON WV $5.08M
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. 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 2,963 $135K
2019 2,169 $72K
2020 2,976 $145K
2021 3,658 $173K
2022 4,246 $327K
2023 8,441 $493K
2024 7,931 $389K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 12,318 9,404 $1.64M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,190 4,121 $31K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,832 3,309 $26K
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 2,360 2,106 $16K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 267 246 $10K
87428 183 173 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 75 75 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 139 116 $931.30
90674 14 13 $703.07
90686 133 114 $367.24
1036F 743 564 $0.00
3074F 1,238 998 $0.00
1126F 458 383 $0.00
1125F 682 528 $0.00
1034F 371 288 $0.00
3075F 93 76 $0.00
3079F 88 73 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 49 27 $0.00
G0008 Administration of influenza virus vaccine 37 37 $0.00
1159F 1,178 907 $0.00
90837 Psychotherapy, 53 minutes with patient 432 216 $0.00
3078F 1,275 1,004 $0.00
1160F 1,148 881 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 19 12 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 37 36 $0.00
G0444 Annual depression screening, 5 to 15 minutes 13 12 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $0.00