West Virginia Medicaid Spending
West Virginia's Medicaid program paid $1.56B across 9 providers from 2018–2024. 11 providers in West Virginia are flagged on our risk watchlist. The top procedure code is S5125 (Attendant care services, per 15 min) at $597.1M.
Total Spending
$1.56B
Total Claims
20.4M
Top Providers
9
Beneficiaries
16.6M
Flagged Providers
11
on risk watchlist
Avg Per Provider
$173.5M
across 9 providers
Yearly Spending Trend
Top Providers in West Virginia
Rem Community Options Inc.
Community/Behavioral Health · Benwood
$224.9M
213K claims
Laboratory Corporation of America Holdings
Clinical Medical Laboratory · Charleston
$220.0M
8.8M claims
Charleston Area Medical Center INC
General Acute Care Hospital · Charleston
$199.8M
4.0M claims
Voca Corporation of West Virginia Inc.
Clinic/Center Developmental Disabilities · Princeton
$178.3M
142K claims
Mulberry Street Management Services Inc.
In Home Supportive Care · Morgantown
$175.6M
790K claims
West Virginia University Medical Corporation
Anesthesiology · Morgantown
$162.0M
3.2M claims
Rscr West Virginia Inc.
Clinic/Center Developmental Disabilities · Parkersburg
$153.6M
114K claims
West Virginia University Hospitals, INC
Clinical Medical Laboratory · Morgantown
$124.1M
2.9M claims
Diversified Assessment & Therapy Services
Community/Behavioral Health · Kenova
$122.7M
201K claims
Flagged Providers in West Virginia
Rem Community Options Inc.
$224.9M
2 flags
Laboratory Corporation of America Holdings
$220.0M
1 flag
Charleston Area Medical Center INC
$199.8M
1 flag
Mulberry Street Management Services Inc.
$170.7M
1 flag
Voca Corporation of West Virginia Inc.
$160.0M
1 flag
Rscr West Virginia Inc.
$144.1M
1 flag
Diversified Assessment & Therapy Services
$104.6M
1 flag
West Virginia's Choice
$69.2M
1 flag
Linx Community Service LLC
$60.4M
1 flag
Wv Birth to Three
$60.0M
1 flag
Showing 10 of 11 flagged providers. View full risk watchlist
Spending by Top Procedures
Top Procedures in West Virginia
| Code | Total Paid |
|---|---|
| S5125 Attendant care services, per 15 min | $597.1M |
| T1019 Personal care services, per 15 min | $170.7M |
| 87491 Chlamydia detection, nucleic acid, amplified probe | $51.0M |
| 87591 Neisseria gonorrhoeae detection, nucleic acid, amplified probe | $50.5M |
| 99285 Emergency dept visit, high/urgent complexity | $37.9M |
| 99284 Emergency dept visit, high complexity | $30.1M |
| 87661 Trichomonas vaginalis detection, nucleic acid, amplified probe | $28.8M |
| 99214 Office/outpatient visit, est. patient, mod-high complexity | $28.4M |
| 99213 Office/outpatient visit, est. patient, low-mod complexity | $24.2M |
| 87798 Infectious agent detection, nucleic acid, not otherwise specified | $19.7M |
| 87801 Infectious agent detection, amplified probe, multiple organisms | $19.2M |
| T2021 Day habilitation, waiver; per 15 min | $19.0M |
| 88175 Cytopathology, cervical or vaginal, ThinPrep | $16.2M |
| T1002 RN services, per 15 minutes | $15.5M |
| 99283 Emergency dept visit, moderate complexity | $14.8M |