NPI: 1619103041 · DUCK, WV 25063 · Federally Qualified Health Center (FQHC) · NPI assigned 05/29/2009
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 | 05/29/2009 |
Other providers sharing the same authorized official: POTASNIK, DORA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 269 | $21K |
| 2019 | 137 | $8K |
| 2020 | 108 | $8K |
| 2021 | 54 | $4K |
| 2022 | 108 | $6K |
| 2023 | 314 | $43K |
| 2024 | 54 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 545 | 438 | $95K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 268 | 215 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 89 | 74 | $816.75 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13 | 12 | $304.46 |
| 90686 | 88 | 73 | $37.80 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 41 | 27 | $0.00 |