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 1619348844)

Field	Value
Entity Type	Organization
Organization	Community Care Of West Virginia, Inc.
Address	65 Professional Pl Ste 102103
City	Bridgeport
State	WV
ZIP	26330
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 14, 2015

Payer Source	Total Paid
Medicaid	$9.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	58,850	$150	$8.9M
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…	31,530	$10	$283.8K
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…	6,320	$10	$75.9K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	1,520	$20	$27.4K
99000	Use 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.	660	$30	$19.7K
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…	7,530	$1	$15.1K
99203	The 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…	200	$40	$7K
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…	2,290	$1	$6.9K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	500	$10	$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…	90	$10	$1.2K

Showing 1–10 of 36

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. — 1 of 11 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	29	390	4,610	$130	$2.2M
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…	293	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…	25	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…	22	310	740	$80	$178.2K
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…	317	340	140	$90	$97.5K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	12	100	120	$100	$69.6K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	84	190	110	$70	$63.4K
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…	89	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…	35	210	280	$40	$59.2K
90832	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…	80	200	490	$30	$57.7K

Showing 1–10 of 36

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	$9.1M
Community Care Of West Virginia, Inc.	WV	Federally Qualified Health Center (FQHC)	$0	$7.7M
Minnie Hamilton Health Care Center, Inc.	WV	Critical Access Hospital	$0	$6.9M
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
United Hospital Center, Inc	WV	General Acute Care Hospital	$0	$63.3M
United Hospital Center, Inc.	WV	Internal Medicine Physician	$0	$13.7M
Associated Specialists, Inc.	WV	Infectious Disease Physician	$0	$11.3M
Bridgeport Behavioral Clinic	WV	Psychiatry Physician	$0	$5.7M
Doctors Specialty Care	WV	Addiction Medicine (Family Medicine) Physician	$0	$4.1M
Delta Lifestyle Solutions	WV	Family Medicine Physician	$0	$4.1M
Lincare Inc	WV	Durable Medical Equipment & Medical Supplies	$0	$4M
Cornerstone Pediatric Therapy Center, LLC	WV	Pediatric Occupational Therapist	$0	$3.7M
Mountain State Medical Specialties, PLLC	WV	Dermatology Physician	$0	$3.6M
Seyed Momen	WV	Pediatric Dentistry	$0	$3.2M

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

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

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References