NPI: 1619316999 · CLARKSBURG, WV 26301 · 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 |
|---|---|---|
| 2018 | 63 | $3K |
| 2019 | 36 | $3K |
| 2020 | 38 | $6K |
| 2022 | 62 | $5K |
| 2023 | 101 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 139 | 115 | $20K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 74 | 63 | $804.29 |
| 99173 | 13 | 13 | $152.23 | |
| 92551 | 13 | 13 | $152.23 | |
| 90686 | 45 | 38 | $12.60 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16 | 13 | $0.00 |