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    OpenPayerNPI Medicare & MedicaidCommunity Health Systems Inc.
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    Community Health Systems Inc. — Billing Profile & Reimbursement Data

    NPI 1073506465 · Fayetteville, WV · Federally Qualified Health Center (FQHC)

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    Community Health Systems Inc. is a federally qualified health center (fqhc) provider located in Fayetteville, West Virginia. This profile covers 0 Medicare and 23 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Progress1 / 8

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCommunity Health Systems Inc.
    Address5493 Maple Ln
    CityFayetteville
    StateWV
    ZIP25840
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedAugust 31, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$2.1M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive17,940$100$1.7M
    99213The 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…7,620$10$91.4K
    99000Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.7,780$10$70K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.5,680$10$51.1K
    99214The 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…5,410$10$43.3K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…1,450$30$36.1K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…620$20$11.7K
    90471In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.310$40$11K
    90686This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…480$20$9.5K
    J1040Injection, methylprednisolone acetate, 80 mg90$30$2.8K

    Showing 1–10 of 23

    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.

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

    23 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive1063904,610$130$2.2M
    99213The 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…2521,2701,240$30$245K
    99214The 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…1721,030890$50$221K
    36415In this procedure, the provider inserts a needle into a vein to collect a blood sample.60330790$10$64.1K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.132150810$10$45.8K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…129540320$20$43.2K
    99393The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.175190220$50$42.7K
    96372A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…138310490$20$42K
    87811The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…3870130$20$23.3K
    87804The analyst performs an immunoassay with direct optical, meaning visual, observation to detect influenza, also called flu, in a patient sample, typically a throat or nasal swab or nasal washings.202310250$20$21.7K

    Showing 1–10 of 23

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Community Health Systems Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Health Systems, Inc.WVFederally Qualified Health Center (FQHC)$0$35M
    Community Health Systems, Inc.WVObstetrics & Gynecology Physician$0$11.9M
    Community Health Systems, Inc.WVFederally Qualified Health Center (FQHC)$0$2.3M
    Community Health Systems Inc.WVFederally Qualified Health Center (FQHC)$0$1.1M
    Rodney FinkWVFamily Medicine Physician$487.5K$0
    Angel Rosas-acevedoWVDiagnostic Radiology Physician$336.3K$0
    Andrew ThymiusWVInterventional Pain Medicine Physician$199.7K$0
    Harold HarveyWVInternal Medicine Physician$132.8K$4.3K
    Richard ShorterWVFamily Medicine Physician$119.9K$0
    Scott BerneburgWVPodiatrist$91K$0

    Nearby Providers

    Other providers in the same ZIP code as Community Health Systems Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Patrick JarrellWVGeneral Practice Dentistry$0$2.3M
    New River Health Association, Inc.WVFederally Qualified Health Center (FQHC)$0$1M
    Martin MrozekWVPrimary Podiatric Medicine Podiatrist$90.6K$0
    Kimberly NematiWVPhysician Assistant$89.6K$0
    Lisa HarrisWVPhysical Therapist$59.5K$0
    Erika BeckettWVFamily Medicine Physician$4.6K$0
    Ryan NewellWVFamily Medicine Physician$170$0
    Jessica SwankWVFamily Medicine Physician$90$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. West Virginia Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. West Virginia Distribution
    Community Health Systems Inc. — 1 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia