NPI: 1619348844 · BRIDGEPORT, WV 26330 · Federally Qualified Health Center (FQHC) · NPI assigned 10/14/2015
Authorized official POTASNIK, DORA controls 20+ related entities in our dataset. Read more
| Authorized Official | POTASNIK, DORA (CREDENTIALING) |
| NPI Enumeration Date | 10/14/2015 |
Other providers sharing the same authorized official: POTASNIK, DORA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13,459 | $771K |
| 2019 | 8,609 | $427K |
| 2020 | 23,646 | $1.39M |
| 2021 | 21,932 | $1.28M |
| 2022 | 15,161 | $1.49M |
| 2023 | 17,457 | $2.18M |
| 2024 | 13,806 | $1.81M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 58,853 | 40,782 | $8.90M |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 31,534 | 26,281 | $280K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6,321 | 5,500 | $78K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1,522 | 1,368 | $27K |
| 99000 | 658 | 636 | $20K | |
| 90837 | Psychotherapy, 53 minutes with patient | 7,527 | 3,548 | $18K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 200 | 193 | $7K |
| 90834 | Psychotherapy, 45 minutes with patient | 2,288 | 1,458 | $6K |
| 90791 | Psychiatric diagnostic evaluation | 496 | 437 | $5K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 87 | 44 | $1K |
| 96101 | 13 | 12 | $1K | |
| 99215 | Prolong outpt/office vis | 141 | 124 | $35.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 727 | 592 | $18.91 |
| 90832 | Psychotherapy, 30 minutes with patient | 896 | 513 | $0.00 |
| 96130 | 45 | 42 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 80 | 76 | $0.00 |
| 1159F | 273 | 234 | $0.00 | |
| 3078F | 192 | 177 | $0.00 | |
| 80305 | 444 | 217 | $0.00 | |
| 1160F | 273 | 234 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 98 | 71 | $0.00 |
| 99442 | 22 | 14 | $0.00 | |
| 3077F | 14 | 12 | $0.00 | |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 13 | 13 | $0.00 |
| 1034F | 81 | 66 | $0.00 | |
| 1036F | 119 | 110 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 865 | 697 | $0.00 |
| 1126F | 28 | 27 | $0.00 | |
| 3074F | 140 | 132 | $0.00 | |
| 3075F | 15 | 15 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 17 | 14 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 27 | 26 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 15 | 15 | $0.00 |
| 3044F | 16 | 16 | $0.00 | |
| 96127 | 16 | 15 | $0.00 | |
| 3079F | 14 | 14 | $0.00 |