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

    NPI 1114277050 · Buckhannon, WV · Federally Qualified Health Center (FQHC)

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    Community Care Of West Virginia, Inc. is a federally qualified health center (fqhc) provider located in Buckhannon, 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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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCommunity Care Of West Virginia, Inc.
    Address77 W Main St
    CityBuckhannon
    StateWV
    ZIP26201
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedSeptember 19, 2012

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

    Payer SourceTotal Paid
    Medicaid$3M
    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-inclusive12,860$230$3M
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…1,850$20$35.2K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…20$30$540
    1034FNo Summary found for this code370$0$0
    1036FN/A1,660$0$0
    1125FThe 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 experiences pain.1,190$0$0
    1126FThe 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.350$0$0
    1159FNo Summary found for this code1,430$0$0
    1160FNo Summary found for this code1,430$0$0
    3074FNo Summary found for this code2,310$0$0

    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-inclusive1243904,610$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…2151,2701,240$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…6191,030890$50$221K
    99203The provider sees a new 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 provider…255440110$60$57.2K
    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,…178540320$20$43.2K
    87426The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…175190190$30$35.9K
    87428The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient specimen for antigens of severe acute respiratory syndrome (SARS) coronavirus, such as SARS–CoV–2…1890190$20$26K
    87880The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.51330320$20$24.4K
    81003The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…93150580$10$22.2K
    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.304310250$20$21.7K

    Showing 1–10 of 23

    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.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Care Of West Virginia, Inc.WVFederally Qualified Health Center (FQHC)$0$11M
    Community Care Of West Virginia, Inc.WVFederally Qualified Health Center (FQHC)$0$9.3M
    Community Care Of West Virginia, Inc.WVFederally Qualified Health Center (FQHC)$0$9.1M
    Community Care Of West Virginia, Inc.WVFederally Qualified Health Center (FQHC)$0$7.7M
    Community Care Of West Virginia, Inc.WVFederally Qualified Health Center (FQHC)$0$6.3M
    Community Care Of West Virginia, Inc.WVFederally Qualified Health Center (FQHC)$0$6.3M
    Community Care Of West Virginia, Inc.WVFederally Qualified Health Center (FQHC)$0$5.1M
    Community Care Of West Virginia, Inc.WVFederally Qualified Health Center (FQHC)$0$4.9M
    Community Care Of West Virginia, Inc.WVFederally Qualified Health Center (FQHC)$0$4.4M
    Community Care Of West Virginia, Inc.WVFederally 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.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Central West Virginia Aging Services Inc (hmkr)WVHome Health Agency$0$61.8M
    St Josephs Hospital Of Buckhannon IncWVCritical Access Hospital$0$41.8M
    Central West Virginia Aging Services, Inc. (cm)WVCase Management Agency$0$8.6M
    St Josephs Hospital Of BuckhannonWVInternal Medicine Physician$0$4.5M
    Drs Martino & Wilson, PLLCWVGeneral Practice Dentistry$0$4.1M
    Upshur County Emergency Medical Services IncWVLand Ambulance$336.2K$3.6M
    Community Care Of West Virginia, Inc.WVFederally Qualified Health Center (FQHC)$0$3.5M
    St. Joseph's Hospital Of Buckhannon, Inc.WVRural Health Clinic/Center$0$2.2M
    St. Joseph's Hospital Of Buckhannon, Inc.WVRural Health Clinic/Center$0$1.1M
    Community Care Of West Virginia, Inc.WVFederally Qualified Health Center (FQHC)$0$867.3K

    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 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    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