NPI: 1093765869 · CLAY, WV 25043 · Federally Qualified Health Center (FQHC) · NPI assigned 05/11/2006
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 | 05/11/2006 |
Other providers sharing the same authorized official: POTASNIK, DORA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 302 | $25K |
| 2019 | 470 | $27K |
| 2020 | 283 | $16K |
| 2021 | 142 | $3K |
| 2022 | 718 | $49K |
| 2023 | 718 | $77K |
| 2024 | 363 | $54K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 1,173 | 950 | $234K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 722 | 595 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 420 | 318 | $5K |
| 87428 | 99 | 96 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 54 | 44 | $2K |
| 90686 | 358 | 283 | $50.40 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 82 | 63 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 41 | 30 | $0.00 |
| 92551 | 47 | 35 | $0.00 |