Providers
SAMANTHA B SHAWVER, FNP-C
NPI 1336505049, individual, Charleston, WV, Nurse Practitioner, Family
5
Evidence tier
informational
score 31 of 100, rank 11091, $825K at stake
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | SAMANTHA B SHAWVER, FNP-C |
| Type | Individual |
| Status | Active |
| NPI issued | January 11, 2016, last updated August 25, 2025 |
| Practice location | 1207 QUARRIER ST, Charleston, WV 25301-1826, 681-552-2990 |
| Mailing address | 1505 MOUNT VERNON RD, Charleston, WV 25314-2533 |
| Specialties | Nurse Practitioner (363L00000X, license 3010278 KY) Nurse Practitioner, Family (363LF0000X, license 810074 NV) Nurse Practitioner, Family (363LF0000X, primary, license APRN90027-FNP-BC WV) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | $456K | 28% | $132 | $59 (top 5% from $239) | 87th percentile | |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $300K | 19% | $90 | $44 (top 5% from $110) | 92nd percentile | |
| 80307 | Testing for presence of drug, by chemistry analyzers | $299K | 19% | $91 | $45 (top 5% from $110) | 91st percentile | |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | $114K | 7% | $95 | $49 (top 5% from $109) | 92nd percentile | |
| 82075 | Measurement of alcohol level in breath specimen | $111K | 7% | $57 | $29 (top 5% from $75) | 92nd percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $85K | 5% | $81 | $60 (top 5% from $133) | 71st percentile | |
| 99406 | Smoking and tobacco use intensive counseling, 4-10 minutes | $80K | 5% | $36 | $7.24 (top 5% from $18) | 98th percentile | |
| G0482 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | $51K | 3% | $167 | $133 (top 5% from $245) | 73rd percentile |
Medicare Part B 2024, largest codes
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 92 | 22 | $5K | $100 | $71 | 1.4x | 2.2x (90th percentile 3.8x) |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 12 | 12 | $645 | $175 | $87 | 2.0x | 2.4x (90th percentile 3.9x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
7 providers in Kanawha County, WV carry an indicator in the public record, with $3.5M at stake between them. The most common is more hours than a day holds, on 4 of them, followed by named in an enforcement record on 2. 3 are tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | SHAWN BLANKENSHIP Charleston, WV, ranked 289 | $0 |
|
| 1 | HUGH SMITH Charleston, WV, ranked 314 | $6K |
|
| 1 | HOLISTIC, INC Charleston, WV, ranked 557 | $0 |
|
| 3 | HARRELL NURSING HOME Charleston, WV, ranked 2693 | $0 |
|
| 4 | MOHAMAD KALOU Charleston, WV, ranked 7525 | $3.4M |
|
| 5 | NITIN SANGRAMPURKAR Charleston, WV, ranked 10478 | $72K |
|
| 5 | JENNIFER PRICE Charleston, WV, ranked 11891 | $17K |
Recent enforcement in WV
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJCivil settlementJun 23, 2026
Northern District of West Virginia Part of National Health Care Fraud Takedown Resulting in 455 Defendants Charged in Connection with Over $6.5 Billion in Alleged Fraud
Two providers reached civil settlements resolving allegations that they used pre-signed, invalid prescriptions issued outside the usual course of their professional practice to patients in West Virginia while traveling and not in close proximity to their offices, and in one case submitted claims to Medicare and Medicaid during that time.
DOJComplaint filedJun 23, 2026
U.S. Attorney Moore Capito Announces Fraud Conspiracy Charges Against Sober Living Home Founder and Spouse
Two individuals affiliated with a sober living recovery program allegedly conspired to falsify and submit timesheets to a testing laboratory for drug testing work not performed, and the laboratory paid the billings and obtained reimbursement from federal and state healthcare programs; separately, a sleep laboratory paid $120,000 to resolve allegations it billed Medicaid and the VA Community Health program for sleep studies and polysomnogram reports prepared and signed by unqualified, non-physician staff.
DOJPleaded guiltyJun 17, 2026
Mercer County Woman Pleads Guilty to $175,731.31 Fraud Scheme Targeting Federal Veterans Health Care Benefits
Radford, an owner of Healthcare Therapy Services LLC doing business as Medical Massage Therapy, submitted false bills to CHAMPVA for massage services not rendered, stealing $175,731.31.
DOJCivil settlementMar 5, 2026
Laboratory Agrees to Pay More than $200,000 for Improper Billing to West Virginia Medicaid Program
Integra repeatedly submitted billings to the West Virginia Medicaid program for medically unnecessary testing ordered by medical providers over a two-year period, specifically improper claims for specimen validity testing that were not allowable.
DOJCivil settlementApr 2, 2025
Beckley Medical Clinic and Physician Agree to Pay $152,382.70 to Resolve False Claims Act Allegations
Med-Surg and its owner submitted claims to Medicare and Medicaid using HCPCS code Q3014 for the telehealth originating site facility fee for telehealth visits where the patient was at home, which is not payable.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.