NPI: 1477992915 · NUTTER FORT, WV 26301 · Federally Qualified Health Center (FQHC) · NPI assigned 06/18/2013
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 | 06/18/2013 |
Other providers sharing the same authorized official: POTASNIK, DORA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $104.43 |
| 2019 | 12 | $2K |
| 2022 | 14 | $4K |
| 2023 | 394 | $46K |
| 2024 | 177 | $32K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 344 | 281 | $83K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 33 | 33 | $409.08 |
| 3078F | 14 | 13 | $0.00 | |
| 1159F | 16 | 15 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 19 | 13 | $0.00 |
| 1160F | 16 | 15 | $0.00 | |
| 3074F | 16 | 15 | $0.00 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 121 | 94 | $0.00 |
| 90686 | 33 | 33 | $0.00 |