NPI: 1073562641 · CLAY, WV 25043 · Federally Qualified Health Center (FQHC) · NPI assigned 05/09/2006
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 | 05/09/2006 |
Other providers sharing the same authorized official: POTASNIK, DORA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13,849 | $877K |
| 2019 | 6,569 | $398K |
| 2020 | 14,981 | $810K |
| 2021 | 16,361 | $968K |
| 2022 | 26,281 | $1.99M |
| 2023 | 29,021 | $2.31M |
| 2024 | 25,872 | $1.74M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 49,794 | 39,283 | $8.35M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27,386 | 21,992 | $243K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 4,626 | 4,147 | $166K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 11,209 | 9,535 | $107K |
| 87428 | 2,435 | 2,178 | $54K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2,628 | 2,286 | $35K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2,161 | 1,889 | $20K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1,037 | 965 | $20K |
| 81002 | 697 | 639 | $18K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1,119 | 1,004 | $12K |
| 90686 | 821 | 720 | $9K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 378 | 361 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 560 | 511 | $7K |
| 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 | 968 | 897 | $7K |
| 92551 | 787 | 724 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1,053 | 840 | $6K |
| 81025 | 124 | 118 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 196 | 194 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 95 | 91 | $4K |
| 90715 | 90 | 87 | $3K | |
| 90707 | 77 | 69 | $3K | |
| 90674 | 72 | 72 | $3K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 43 | 39 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 224 | 215 | $2K |
| 90670 | 28 | 28 | $2K | |
| 90688 | 22 | 12 | $1K | |
| 90648 | 13 | 13 | $928.60 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 85 | 84 | $761.15 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 78 | 69 | $761.14 |
| 90633 | 14 | 14 | $729.69 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13 | 13 | $616.53 |
| 90746 | 14 | 12 | $152.71 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 13 | 12 | $55.24 |
| 92250 | 12 | 12 | $51.40 | |
| 1036F | 1,904 | 1,596 | $0.00 | |
| 90656 | 27 | 27 | $0.00 | |
| 99000 | 1,384 | 1,282 | $0.00 | |
| 3074F | 3,405 | 2,940 | $0.00 | |
| 1125F | 1,755 | 1,483 | $0.00 | |
| 3075F | 708 | 599 | $0.00 | |
| 3079F | 576 | 500 | $0.00 | |
| 1034F | 1,375 | 1,095 | $0.00 | |
| 1035F | 188 | 130 | $0.00 | |
| 3044F | 86 | 56 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 136 | 130 | $0.00 |
| 1126F | 1,325 | 1,163 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 92 | 90 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 75 | 62 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 60 | 47 | $0.00 |
| 90632 | 13 | 13 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 27 | 27 | $0.00 |
| 1160F | 3,030 | 2,511 | $0.00 | |
| 1159F | 3,079 | 2,553 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 748 | 686 | $0.00 |
| 3077F | 16 | 13 | $0.00 | |
| 3078F | 3,784 | 3,240 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 12 | 12 | $0.00 |
| 99173 | 16 | 16 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 12 | 12 | $0.00 |
| 81003 | 135 | 108 | $0.00 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 14 | 13 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 55 | 42 | $0.00 |
| 91300 | 12 | 12 | $0.00 | |
| 90662 | 13 | 13 | $0.00 |