Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or West Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to West Virginia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. West Virginia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Community Care Of West Virginia, Inc. (NPI 1063048189)

Field	Value
Entity Type	Organization
Organization	Community Care Of West Virginia, Inc.
Address	34 N Kanawha St
City	Buckhannon
State	WV
ZIP	26201
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 20, 2020

Payer Source	Total Paid
Medicaid	$3.5M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	16,210	$220	$3.5M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	700	$10	$7K
H0004	Behavioral health counseling and therapy, per 15 minutes	10	$30	$360
1034F	No Summary found for this code	60	$0	$0
1126F	The provider measures the severity of pain in a patient with cancer who receives chemotherapy or radiotherapy during the measurement period. Report this code if the patient does not experience pain.	80	$0	$0
1159F	No Summary found for this code	130	$0	$0
1160F	No Summary found for this code	130	$0	$0
3074F	No Summary found for this code	60	$0	$0
3078F	No Summary found for this code	40	$0	$0
3079F	No Summary found for this code	30	$0	$0

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other West Virginia providers billing the same CPT/HCPCS codes.

Claims Volume vs. West Virginia Distribution

Community Care Of West Virginia, Inc. — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. West Virginia median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	113	390	4,610	$130	$2.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	166	170	8,500	$80	$1.5M
H0031	Mental health assessment, by non-physician	114	120	620	$160	$312.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,064	1,270	1,240	$30	$245K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	76	1,030	890	$50	$221K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	120	310	740	$80	$178.2K
H0032	Mental health service plan development by non-physician	57	60	280	$80	$141.9K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	290	340	140	$90	$97.5K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	56	100	940	$20	$62.4K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	130	210	280	$40	$59.2K

Showing 1–10 of 24

Related Providers

Other providers that share a Tax Identification Number (TIN) with Community Care Of West Virginia, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Care Of West Virginia, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$11M
Community Care Of West Virginia, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$9.3M
Community Care Of West Virginia, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$9.1M
Community Care Of West Virginia, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$7.7M
Community Care Of West Virginia, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$6.3M
Community Care Of West Virginia, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$6.3M
Community Care Of West Virginia, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$5.1M
Community Care Of West Virginia, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$4.9M
Community Care Of West Virginia, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$4.4M
Community Care Of West Virginia, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$4.1M

Nearby Providers

Other providers in the same ZIP code as Community Care Of West Virginia, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central West Virginia Aging Services Inc (hmkr)	WV	Home Health Agency	$0	$61.8M
St Josephs Hospital Of Buckhannon Inc	WV	Critical Access Hospital	$0	$41.8M
Central West Virginia Aging Services, Inc. (cm)	WV	Case Management Agency	$0	$8.6M
St Josephs Hospital Of Buckhannon	WV	Internal Medicine Physician	$0	$4.5M
Drs Martino & Wilson, PLLC	WV	General Practice Dentistry	$0	$4.1M
Upshur County Emergency Medical Services Inc	WV	Land Ambulance	$336.2K	$3.6M
Community Care Of West Virginia, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$3M
St. Joseph's Hospital Of Buckhannon, Inc.	WV	Rural Health Clinic/Center	$0	$2.2M
St. Joseph's Hospital Of Buckhannon, Inc.	WV	Rural Health Clinic/Center	$0	$1.1M
Community Care Of West Virginia, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$867.3K

Community Care Of West Virginia, Inc. — Billing Profile & Reimbursement Data

Sign up for Community Care Of West Virginia, Inc. — Billing Profile & Reimbursement Data policy alerts

Community Care Of West Virginia, Inc. — Billing Profile & Reimbursement Data

Sign up for Community Care Of West Virginia, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References