NPI: 1619464369 · WESTON, WV 26452 · Federally Qualified Health Center (FQHC) · NPI assigned 04/18/2018
Authorized official POTASNIK, DORA controls 20+ related entities in our dataset. Read more
| Authorized Official | POTASNIK, DORA (CREDENTIALING COORDINATOR) |
| NPI Enumeration Date | 04/18/2018 |
Other providers sharing the same authorized official: POTASNIK, DORA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 666 | $68K |
| 2019 | 5,955 | $377K |
| 2020 | 12,089 | $679K |
| 2021 | 16,425 | $984K |
| 2022 | 20,964 | $1.78M |
| 2023 | 22,938 | $1.68M |
| 2024 | 13,091 | $763K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 34,933 | 28,619 | $6.04M |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2,942 | 2,526 | $89K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20,501 | 17,110 | $67K |
| 87428 | 1,774 | 1,624 | $49K | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7,878 | 6,863 | $30K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2,349 | 2,086 | $11K |
| 81002 | 695 | 624 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,036 | 884 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 544 | 514 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 520 | 473 | $5K |
| 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 | 639 | 602 | $4K |
| 90686 | 398 | 349 | $4K | |
| 82962 | 69 | 64 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 357 | 285 | $2K |
| 81025 | 83 | 76 | $1K | |
| 92551 | 40 | 39 | $1K | |
| 86308 | 16 | 16 | $728.02 | |
| 90837 | Psychotherapy, 53 minutes with patient | 130 | 69 | $132.52 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 177 | 161 | $20.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 143 | 118 | $15.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 28 | 24 | $13.44 |
| 1159F | 1,982 | 1,784 | $0.00 | |
| 99215 | Prolong outpt/office vis | 93 | 78 | $0.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 612 | 555 | $0.00 |
| 3078F | 2,049 | 1,862 | $0.00 | |
| 1160F | 1,881 | 1,699 | $0.00 | |
| 81003 | 92 | 71 | $0.00 | |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 67 | 62 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 54 | 42 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 17 | 14 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 22 | 20 | $0.00 |
| 3077F | 16 | 15 | $0.00 | |
| 90715 | 12 | 12 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 18 | 13 | $0.00 |
| 1035F | 98 | 93 | $0.00 | |
| 1126F | 1,434 | 1,321 | $0.00 | |
| 99000 | 1,078 | 1,025 | $0.00 | |
| 3074F | 2,360 | 2,144 | $0.00 | |
| 1125F | 1,309 | 1,177 | $0.00 | |
| 3079F | 694 | 629 | $0.00 | |
| 1034F | 881 | 773 | $0.00 | |
| 3075F | 243 | 216 | $0.00 | |
| 1036F | 1,697 | 1,529 | $0.00 | |
| 87807 | 53 | 42 | $0.00 | |
| 90834 | Psychotherapy, 45 minutes with patient | 42 | 30 | $0.00 |
| 90651 | 18 | 15 | $0.00 | |
| 90656 | 13 | 13 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 24 | 24 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 17 | 12 | $0.00 |