NPI: 1558563734 · WEST MILFORD, WV 26451 · Federally Qualified Health Center (FQHC) · NPI assigned 06/01/2007
Authorized official POTASNIK, DORA controls 20+ related entities in our dataset. Read more
| Authorized Official | POTASNIK, DORA (CREDENTIALING COORDINATOR) |
| Parent Organization | COMMUNITY CARE OF WEST VIRGINIA, INC. |
| NPI Enumeration Date | 06/01/2007 |
Other providers sharing the same authorized official: POTASNIK, DORA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,512 | $157K |
| 2019 | 1,411 | $87K |
| 2020 | 4,060 | $258K |
| 2021 | 6,130 | $306K |
| 2022 | 20,260 | $1.08M |
| 2023 | 31,365 | $1.35M |
| 2024 | 35,444 | $1.15M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 29,387 | 24,597 | $4.29M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4,522 | 3,833 | $34K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 20,634 | 17,492 | $25K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 184 | 169 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 272 | 254 | $6K |
| 36415 | Collection of venous blood by venipuncture | 145 | 135 | $5K |
| 87428 | 123 | 114 | $4K | |
| 90686 | 87 | 87 | $3K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 55 | 54 | $2K |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 166 | 141 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 16 | 14 | $1K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 168 | 157 | $1K |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 139 | 115 | $772.00 |
| 92551 | 31 | 28 | $452.00 | |
| 1160F | 4,720 | 4,019 | $0.00 | |
| 3078F | 7,045 | 6,134 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 206 | 183 | $0.00 |
| 1159F | 5,287 | 4,533 | $0.00 | |
| 3051F | 54 | 48 | $0.00 | |
| 3077F | 357 | 304 | $0.00 | |
| 1090F | 78 | 58 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 83 | 78 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 33 | 31 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 18 | 17 | $0.00 |
| 3074F | 7,025 | 6,140 | $0.00 | |
| 1036F | 4,690 | 4,051 | $0.00 | |
| 3044F | 556 | 476 | $0.00 | |
| 1125F | 7,778 | 6,720 | $0.00 | |
| 3079F | 1,249 | 1,105 | $0.00 | |
| 1035F | 717 | 588 | $0.00 | |
| 1034F | 2,955 | 2,491 | $0.00 | |
| 3075F | 966 | 840 | $0.00 | |
| 1126F | 501 | 440 | $0.00 | |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 63 | 62 | $0.00 |
| 99000 | 408 | 388 | $0.00 | |
| 3352F | 268 | 259 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 45 | 36 | $0.00 |
| 3353F | 42 | 41 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 95 | 82 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 14 | 14 | $0.00 |