NPI: 1194191676 · ROCK CAVE, WV 26234 · Federally Qualified Health Center (FQHC) · NPI assigned 08/19/2015
Authorized official POTASNIK, DORA controls 20+ related entities in our dataset. Read more
| Authorized Official | POTASNIK, DORA (CREDENTIALING COORDINATOR) |
| NPI Enumeration Date | 08/19/2015 |
Other providers sharing the same authorized official: POTASNIK, DORA
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 17 | $2K |
| 2020 | 15 | $2K |
| 2022 | 147 | $15K |
| 2023 | 142 | $21K |
| 2024 | 13 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 203 | 136 | $43K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 28 | 15 | $374.04 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 60 | 45 | $0.00 |
| 90686 | 29 | 15 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 14 | 13 | $0.00 |