NPI: 1053821363 · SUTTON, WV 26601 · Federally Qualified Health Center (FQHC) · NPI assigned 10/02/2017
Authorized official POTASNIK, DORA controls 20+ related entities in our dataset. Read more
| Authorized Official | POTASNIK, DORA (CREDENTIALING COORDINATORY) |
| Parent Organization | COMMUNITY CARE OF WEST VIRGINIA, INC. |
| NPI Enumeration Date | 10/02/2017 |
Other providers sharing the same authorized official: POTASNIK, DORA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 21 | $2K |
| 2019 | 90 | $3K |
| 2022 | 102 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 75 | 42 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 67 | 50 | $494.45 |
| 90686 | 28 | 16 | $68.94 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23 | 12 | $0.00 |
| 90656 | 20 | 20 | $0.00 |