Medicaid Provider Spending

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

$8.56B
Total Medicaid Paid
3,746
Providers
121,480,216
Total Claims
84,045,318
Beneficiaries

West Virginia's 3,746 Medicaid providers billed $8.56B between 2018 and 2024. The most-billed code is S5125, accounting for $1.31B in payments. Charleston is the largest Medicaid billing hub in the state. 4 providers in WV appear on the OIG exclusion list.

Top Billing Codes in West Virginia View all →

CodeDescriptionTotal Paid
S5125 Attendant care services; per 15 minutes $1.31B
T1015 Clinic visit/encounter, all-inclusive $859.57M
S5130 Homemaker service, nos; per 15 minutes $475.69M

Browse by City

CHARLESTON ($1.10B)  MORGANTOWN ($804.79M)  HUNTINGTON ($720.33M)  PARKERSBURG ($489.75M)  BECKLEY ($449.02M)  PRINCETON ($378.58M)  WHEELING ($331.25M)  MARTINSBURG ($273.74M)  SOUTH CHARLESTON ($229.30M)  BENWOOD ($224.88M)  ELKINS ($163.62M)  CLARKSBURG ($157.53M)  BUCKHANNON ($150.36M)  BRIDGEPORT ($148.86M)  BARBOURSVILLE ($130.78M)  FAIRMONT ($130.02M)  KENOVA ($124.93M)  LOGAN ($120.34M)  WEIRTON ($104.60M)  PETERSBURG ($89.67M)  DUNBAR ($73.42M)  KEYSER ($68.53M)  WILLIAMSTOWN ($68.53M)  SAINT ALBANS ($63.63M)  WILLIAMSON ($62.47M)  SUMMERSVILLE ($59.15M)  CROSS LANES ($59.08M)  MADISON ($57.78M)  LEWISBURG ($56.79M)  MAXWELTON ($56.69M)  POINT PLEASANT ($50.29M)  HURRICANE ($44.26M)  OAK HILL ($44.11M)  SPENCER ($42.21M)  RONCEVERTE ($41.24M)  RANSON ($39.11M)  PINEVILLE ($37.56M)  BELINGTON ($36.95M)  WESTON ($36.37M)  RIPLEY ($36.23M)  KEARNEYSVILLE ($36.01M)  MILTON ($35.48M)  ROMNEY ($34.82M)  BLUEFIELD ($33.16M)  KINGWOOD ($31.44M)  BEAVER ($29.89M)  GASSAWAY ($29.65M)  HAMLIN ($29.35M)  SCOTT DEPOT ($29.29M)  GLEN DALE ($27.37M) 

Billing Flags (25 providers)

Automated signals based on claims-per-beneficiary ratios, single-code concentration, and OIG exclusion status. These are statistical outliers — not evidence of fraud. Learn more

#ProviderTotal PaidFlags
1 HARMONY RIDGE RECOVERY CENTER, LLC $24.25M single-code billing
2 INTERIM HEALTHCARE OF PITTSBURGH, INC. $23.05M single-code billing
3 MAXIM HEALTHCARE SERVICES, INC. $19.86M single-code billing
4 BBC REHAB, PC,INC $10.56M single-code billing
5 HOPE DRUG REHABILITATION LLC $9.11M single-code billing
6 CENTRAL WEST VIRGINIA AGING SERVICES, INC. (CM) $8.59M single-code billing
7 MULBERRY STREET MANAGEMENT SERVICES, INC. $8.29M single-code billing
8 LOTUS RECOVERY CENTER OF COMFORT LLC $7.48M single-code billing
9 MINDOULA HEALTH INC. $6.68M single-code billing
10 ALLIED NURSING AND COMMUNITY SERVICE $5.38M single-code billing
11 AURORA PROJECT ASSOCIATES LLC $5.07M single-code billing
12 WESTOVER PROJECT ASSOCIATES LLC $2.94M single-code billing
13 WEST VIRGINIA UNIVERSITY HOSPITALS, INC $2.85M single-code billing
14 QUALITY CARE MANAGEMENT, PLLC $2.79M single-code billing
15 A SPECIAL TOUCH FOR SENIORS, LLC $1.98M single-code billing
16 AGING AND FAMILY SERVICES OF MINERAL COUNTY, INC. $1.56M single-code billing
17 ALL CARE HOME AND COMMUNITY SERVICES $1.54M single-code billing
18 HEART AT HOME $1.51M single-code billing
19 AMERICARE MANAGEMENT SERVICES $1.41M single-code billing
20 BEST CASE SCENARIO $1.37M single-code billing
21 SHELTERED WORKSHOP OF NICHOLAS COUNTY $1.34M single-code billing
22 VELTEX MEDICAL, INC. $1.28M single-code billing
23 GENESIS YOUTH CRISIS CENTER, INC. $1.26M single-code billing
24 MOUNTAINHEART COMMUNITY SERVICES, INC $1.23M single-code billing
25 RALEIGH COUNTY COMMISSION ON AGING, INC. $1.10M single-code billing

Top 100 Providers in West Virginia

#ProviderCityClaimsTotal Paid
1 REM COMMUNITY OPTIONS, INC. BENWOOD 213,280 $224.86M
2 LABORATORY CORPORATION OF AMERICA HOLDINGS CHARLESTON 8,750,297 $220.04M
3 CHARLESTON AREA MEDICAL CENTER INC CHARLESTON 4,024,224 $199.84M
4 VOCA CORPORATION OF WEST VIRGINIA, INC. PRINCETON 142,124 $178.33M
5 MULBERRY STREET MANAGEMENT SERVICES, INC. MORGANTOWN 789,594 $175.63M
6 WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION MORGANTOWN 3,232,843 $162.04M
7 RSCR WEST VIRGINIA, INC. PARKERSBURG 114,449 $153.61M
8 WEST VIRGINIA UNIVERSITY HOSPITALS, INC MORGANTOWN 2,888,713 $124.09M
9 DIVERSIFIED ASSESSMENT & THERAPY SERVICES KENOVA 200,819 $122.67M
10 CABELL HUNTINGTON HOSPITAL INC HUNTINGTON 2,248,397 $94.16M
11 PRESTERA CENTER FOR MENTAL HEALTH SERVICES INC BARBOURSVILLE 878,464 $75.38M
12 WEST VIRGINIA'S CHOICE MORGANTOWN 304,622 $72.76M
13 NORTHWOOD HEALTH SYSTEMS INC WHEELING 585,086 $67.64M
14 URGENT CARE, INC.- WEST VIRGINIA SOUTH CHARLESTON 1,280,861 $66.96M
15 LINX COMMUNITY SERVICE, LLC WILLIAMSTOWN 76,485 $64.45M
16 UNITED HOSPITAL CENTER, INC BRIDGEPORT 1,600,457 $63.26M
17 CENTRAL WEST VIRGINIA AGING SERVICES INC (HMKR) BUCKHANNON 286,893 $61.75M
18 SHENANDOAH VALLEY MEDICAL SYSTEM, INC. MARTINSBURG 952,418 $61.18M
19 WV BIRTH TO THREE CHARLESTON 482,335 $60.00M
20 AUTISM SERVICE CENTER HUNTINGTON 69,353 $59.00M
21 UNIVERSITY PHYSICIANS & SURGEONS, INC HUNTINGTON 1,337,007 $58.39M
22 CAMDEN CLARK MEMORIAL HOSPITAL CORPORATION PARKERSBURG 1,374,029 $56.26M
23 NORTHWOOD HEALTH SYSTEMS INC WHEELING 307,749 $52.46M
24 CHARLESTON AREA MEDICAL CENTER, INC. CHARLESTON 1,160,325 $51.07M
25 ST. JOSEPH RECOVERY CENTER, LLC PARKERSBURG 355,924 $49.60M
26 ST. MARY'S MEDICAL CENTER INC HUNTINGTON 1,482,562 $47.59M
27 SOUTHERN HIGHLANDS COMMUNITY MENTAL HEALTH CENTER, INC. PRINCETON 571,253 $44.25M
28 CHILDREN'S HOME SOCIETY OF WEST VIRGINIA CHARLESTON 247,594 $44.12M
29 PSYCHOLOGICAL ASSESSMENT & INTERVENTION SERVICES, LLC DUNBAR 43,665 $43.50M
30 LOGAN GENERAL HOSPITAL LLC LOGAN 829,016 $43.43M
31 OHIO VALLEY PHYSICIANS INC HUNTINGTON 1,082,741 $43.04M
32 WESTBROOK HEALTH SERVICES, INC PARKERSBURG 443,858 $42.59M
33 STEVENSON, LLC CHARLESTON 87,375 $42.36M
34 ST JOSEPHS HOSPITAL OF BUCKHANNON INC BUCKHANNON 802,219 $41.86M
35 CITY HOSPITAL, INC MARTINSBURG 1,114,527 $41.06M
36 PRO CAREERS, INC CROSS LANES 279,844 $41.05M
37 PRINCETON COMMUNITY HOSPITAL ASSN., INC. PRINCETON 1,209,072 $40.95M
38 HEALTHWAYS INC WEIRTON 61,952 $40.79M
39 NCGCARE ACQUISITION, LLC HUNTINGTON 65,220 $40.31M
40 WHEELING HOSPITAL INC WHEELING 1,151,306 $40.14M
41 POTOMAC HIGHLANDS GUILD PETERSBURG 213,260 $38.85M
42 SENECA HEALTH SERVICES INC MAXWELTON 52,164 $38.08M
43 RALEIGH GENERAL HOSPITAL LLC BECKLEY 682,226 $36.44M
44 COMMUNITY HEALTH SYSTEMS, INC. BECKLEY 789,148 $35.02M
45 LOVED ONES IN HOME CARE SOUTH CHARLESTON 149,058 $34.95M
46 LORRAINE SURGICAL SUPPLY OF WEST VIRGINIA INC WHEELING 460,957 $34.42M
47 UNITED SUMMIT CENTER INC- REHAB CLARKSBURG 311,768 $32.77M
48 THE ARC OF HARRISON COUNTY CLARKSBURG 258,990 $32.75M
49 WESTBROOK HEALTH SERVICES, INC. PARKERSBURG 306,804 $32.60M
50 KANAWHA COUNTY EMERGENCY AMBULANCE AUTHORITY CHARLESTON 235,937 $31.88M
51 BOONE MEMORIAL HOSPITAL, INC MADISON 528,874 $31.87M
52 TRI-STATE ADDICTION RECOVERY RESOURCES HUNTINGTON 348,416 $29.66M
53 RUSSELL NESBITT SERVICES INC WHEELING 101,874 $29.53M
54 PANHANDLE SUPPORT SERVICES, INC. BARBOURSVILLE 275,996 $29.07M
55 MULBERRY STREET MANAGEMENT SERVICES, INC. MORGANTOWN 75,081 $28.86M
56 EASTERN PANHANDLE MENTAL HEALTH CENTER (WAIVER) MARTINSBURG 499,472 $28.72M
57 WEIRTON MEDICAL CENTER, INC WEIRTON 694,258 $27.68M
58 FMRS HEALTH SYSTEMS INC BECKLEY 311,005 $27.02M
59 STEPPING STONES COTTAGES, LLC MARTINSBURG 32,573 $26.58M
60 PUTNAM COUNTY AGING, INC. SAINT ALBANS 102,126 $26.58M
61 JACKSON COUNTY DEVELOPMENTAL CENTER, INC MILLWOOD 66,516 $26.35M
62 HERBERT J. THOMAS MEMORIAL HOSPITAL ASSOCIATION SOUTH CHARLESTON 756,343 $26.14M
63 HUNTINGTON HOSPITALIST GROUP INC HUNTINGTON 536,304 $26.02M
64 SELECT IN HOME SERVICES, INC. ELKINS 117,877 $25.75M
65 HOPE FOR TOMORROW, LLC POINT PLEASANT 210,863 $25.60M
66 UNITED SUMMIT CENTER INC-WAVIER CLARKSBURG 35,350 $25.60M
67 STAT EMS, LLC. PINEVILLE 210,585 $25.31M
68 OPEN DOORS FOR THE DEVELOPMENTALLY CHALLENGED, INC. LEWISBURG 14,850 $25.16M
69 HEALTH CARE ALLIANCE, INC. BECKLEY 244,937 $25.07M
70 HARMONY RIDGE RECOVERY CENTER, LLC WALKER 99,490 $24.25M
71 HEALTHNET AEROMEDICAL SERVICES INC. CHARLESTON 17,303 $24.14M
72 CABELL COUNTY EMERGENCY MEDICAL SERVICE HUNTINGTON 179,460 $23.29M
73 INTERIM HEALTHCARE OF PITTSBURGH, INC. MORGANTOWN 57,630 $23.05M
74 OHIO VALLEY PHYSICIANS INC HUNTINGTON 172,433 $22.76M
75 HOMETOWN CARE BELINGTON 78,976 $22.10M
76 UNLIMITED POSSABILITIES, INC. MILTON 80,559 $22.06M
77 SOUTHERN HIGHLANDS COMMUNITY MENTAL HEALTH CENTER, INC. PRINCETON 102,742 $22.01M
78 VALLEY COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER MORGANTOWN 41,756 $21.80M
79 JEFFERSON MEMORIAL HOSPITAL RANSON 345,550 $21.65M
80 CHANGE, INCORPORATED WEIRTON 335,017 $21.26M
81 HUNTINGTON TREATMENT CENTER, LLC HUNTINGTON 224,247 $20.98M
82 JAN-CARE AMBULANCE OF RALEIGH COUNTY INC BECKLEY 160,009 $20.85M
83 WOMEN CARE INC SCOTT DEPOT 298,176 $20.48M
84 MOUNTAINEER BEHAVIORAL HEALTH KEARNEYSVILLE 161,162 $20.46M
85 PRESTON MEMORIAL HOSPITAL CORPORATION KINGWOOD 276,030 $20.15M
86 DAVIS MEMORIAL HOSPITAL ELKINS 665,743 $20.09M
87 TEN UP MINISTRIES, INC SAINT ALBANS 289,738 $19.87M
88 MAXIM HEALTHCARE SERVICES, INC. CHARLESTON 57,578 $19.86M
89 HEALTHTEAM CRITICAL CARE TRANSPORT LLC CHARLESTON 118,242 $19.83M
90 CAMDEN-CLARK PHYSICIAN CORPORATION PARKERSBURG 380,996 $19.83M
91 MOUNTAINEER FAMILY MEDICINE, INC. CHARLESTON 494,711 $19.54M
92 VALLEY COMPREHENSIVE COMMUNITY MENTAL HEALTH CENTER MORGANTOWN 152,035 $19.44M
93 WV FAMILY SUPPORT AND REHABILITATION SERVICES PARKERSBURG 165,242 $19.42M
94 WEST VIRGINIA HEALTH CARE COOPERATIVE INC SUMMERSVILLE 376,531 $19.20M
95 OAK HILL HOSPITAL CORPORATION OAK HILL 262,871 $18.77M
96 PRESTERA CENTER FOR MENTAL HEALTH SERVICES, INC HUNTINGTON 30,238 $18.73M
97 UNITED PHYSICIANS CARE INC SHINNSTON 433,376 $18.45M
98 APPALACHIAN REGIONAL HEALTHCARE, INC BECKLEY 554,047 $18.33M
99 CLEAN & CLEAR ADVANTAGE, LLC PARKERSBURG 96,878 $18.29M
100 GREENBRIER EMERGENCY SERVICES, INC. GASSAWAY 185,767 $18.20M