Community Care of West Virginia, INC.
Community Care of West Virginia, INC. was paid $1.73M by Medicaid between Jan 2018 and Nov 2024, across 27 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
IVYDALE, WV 25113
Next to other Federally Qualified Health Center (FQHC) 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 | 2,963 | $135K | |
| 2019 | 2,169 | $72K | |
| 2020 | 2,976 | $145K | |
| 2021 | 3,658 | $173K | |
| 2022 | 4,246 | $327K | |
| 2023 | 8,441 | $493K | |
| 2024incomplete | 7,931 | $389K |
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 | 95% | 12,318 | 9,404 | $1.64M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 5,190 | 4,121 | $31K |
| 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% | 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 | <1% | 2,360 | 2,106 | $16K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 267 | 246 | $10K |
| 87428 | <1% | 183 | 173 | $6K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 75 | 75 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 139 | 116 | $931.30 |
| 90674 | <1% | 14 | 13 | $703.07 | |
| 90686 | <1% | 133 | 114 | $367.24 | |
| 1036F | 0% | 743 | 564 | $0.00 | |
| 3074F | 0% | 1,238 | 998 | $0.00 |
15 more codes
| 1126F | 0% | 458 | $0.00 | |
| 1125F | 0% | 682 | $0.00 | |
| 1034F | 0% | 371 | $0.00 | |
| 3075F | 0% | 93 | $0.00 | |
| 3079F | 0% | 88 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 49 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 37 | $0.00 |
| 1159F | 0% | 1,178 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 432 | $0.00 |
| 3078F | 0% | 1,275 | $0.00 | |
| 1160F | 0% | 1,148 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 19 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 37 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 13 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.