NPI: 1073944658 · WESTON, WV 26452 · 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 | 6,797 | $437K |
| 2019 | 133 | $17K |
| 2020 | 1,878 | $147K |
| 2021 | 2,597 | $208K |
| 2022 | 891 | $96K |
| 2023 | 4,118 | $304K |
| 2024 | 13,581 | $953K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 11,461 | 8,582 | $1.95M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6,411 | 5,583 | $102K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 792 | 674 | $36K |
| 87428 | 1,315 | 1,242 | $20K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1,721 | 1,560 | $19K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 195 | 175 | $10K |
| 81002 | 128 | 112 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 127 | 96 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 89 | 88 | $5K |
| 90686 | 29 | 29 | $1K | |
| 90837 | Psychotherapy, 53 minutes with patient | 1,510 | 790 | $1K |
| 99173 | 28 | 27 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 20 | 19 | $776.37 |
| 90834 | Psychotherapy, 45 minutes with patient | 424 | 275 | $715.60 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 17 | 14 | $643.30 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 19 | 18 | $631.30 |
| 92551 | 15 | 15 | $608.92 | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 84 | 73 | $560.23 |
| 82962 | 12 | 12 | $471.91 | |
| 81025 | 12 | 12 | $457.07 | |
| 3078F | 1,054 | 980 | $0.00 | |
| 1160F | 470 | 440 | $0.00 | |
| 1159F | 470 | 440 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 107 | 94 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 13 | 13 | $0.00 |
| 81003 | 17 | 16 | $0.00 | |
| 90832 | Psychotherapy, 30 minutes with patient | 169 | 118 | $0.00 |
| 1036F | 705 | 639 | $0.00 | |
| 1125F | 737 | 692 | $0.00 | |
| 1126F | 269 | 260 | $0.00 | |
| 1035F | 102 | 95 | $0.00 | |
| 3074F | 1,078 | 1,000 | $0.00 | |
| 1034F | 227 | 219 | $0.00 | |
| 3352F | 42 | 38 | $0.00 | |
| 3079F | 73 | 70 | $0.00 | |
| 87807 | 14 | 12 | $0.00 | |
| 3075F | 39 | 39 | $0.00 |