NPI: 1053742668 · CLARKSBURG, WV 26301 · Federally Qualified Health Center (FQHC) · NPI assigned 12/06/2013
Authorized official POTASNIK, DORA controls 20+ related entities in our dataset. Read more
| Authorized Official | POTASNIK, DORA (CREDENTIALING) |
| Parent Organization | COMMUNITY CARE OF WEST VIRGINIA, INC. |
| NPI Enumeration Date | 12/06/2013 |
Other providers sharing the same authorized official: POTASNIK, DORA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14,027 | $864K |
| 2019 | 8,209 | $553K |
| 2020 | 15,163 | $815K |
| 2021 | 16,843 | $1.00M |
| 2022 | 28,183 | $2.44M |
| 2023 | 39,367 | $2.97M |
| 2024 | 38,755 | $2.34M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 58,186 | 47,807 | $10.21M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33,363 | 28,444 | $248K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 12,483 | 10,777 | $116K |
| 87428 | 4,201 | 3,931 | $104K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3,301 | 2,847 | $100K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,748 | 1,566 | $31K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1,539 | 1,258 | $28K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4,100 | 3,771 | $23K |
| 81002 | 907 | 835 | $23K | |
| 90686 | 627 | 578 | $14K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 571 | 453 | $13K |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 569 | 496 | $13K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 700 | 661 | $12K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 648 | 621 | $12K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 1,493 | 1,337 | $10K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1,147 | 1,055 | $8K |
| 90837 | Psychotherapy, 53 minutes with patient | 140 | 62 | $6K |
| 36415 | Collection of venous blood by venipuncture | 149 | 131 | $5K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 173 | 132 | $4K |
| 81025 | 110 | 102 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 558 | 523 | $4K |
| 90715 | 156 | 148 | $2K | |
| 92551 | 264 | 244 | $1K | |
| 90707 | 41 | 41 | $1K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 89 | 75 | $970.74 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 19 | 15 | $622.69 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 84 | 77 | $299.36 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 159 | 119 | $154.51 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 191 | 140 | $154.51 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 12 | 12 | $152.23 |
| 99442 | 39 | 37 | $20.00 | |
| 81003 | 886 | 790 | $2.03 | |
| 3078F | 3,799 | 3,428 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 201 | 189 | $0.00 |
| 1159F | 4,162 | 3,665 | $0.00 | |
| 1160F | 4,005 | 3,537 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 19 | 15 | $0.00 |
| 91300 | 21 | 18 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 33 | 26 | $0.00 |
| 90734 | 30 | 27 | $0.00 | |
| 3077F | 14 | 13 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 21 | 12 | $0.00 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 15 | 13 | $0.00 |
| 90746 | 18 | 12 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 12 | 12 | $0.00 |
| 3074F | 4,899 | 4,418 | $0.00 | |
| 3079F | 1,993 | 1,787 | $0.00 | |
| 1036F | 3,137 | 2,758 | $0.00 | |
| 1034F | 2,447 | 2,167 | $0.00 | |
| 1125F | 1,853 | 1,661 | $0.00 | |
| 1126F | 2,193 | 1,989 | $0.00 | |
| 3075F | 538 | 461 | $0.00 | |
| 1035F | 639 | 582 | $0.00 | |
| 3044F | 195 | 148 | $0.00 | |
| 99000 | 1,380 | 1,339 | $0.00 | |
| 87807 | 70 | 69 | $0.00 | |
| 92250 | 15 | 14 | $0.00 | |
| 90651 | 27 | 26 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 73 | 60 | $0.00 |
| 90656 | 12 | 12 | $0.00 | |
| 90834 | Psychotherapy, 45 minutes with patient | 45 | 24 | $0.00 |
| 99406 | 28 | 28 | $0.00 |