NPI: 1447699723 · GASSAWAY, WV 26624 · Federally Qualified Health Center (FQHC) · NPI assigned 06/19/2013
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 | 06/19/2013 |
Other providers sharing the same authorized official: POTASNIK, DORA
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 73 | $4K |
| 2020 | 35 | $113.18 |
| 2022 | 58 | $5K |
| 2023 | 57 | $5K |
| 2024 | 52 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 88 | 71 | $19K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 80 | 71 | $874.92 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16 | 14 | $758.04 |
| 90686 | 78 | 66 | $59.54 | |
| 90656 | 13 | 13 | $12.00 |