NPI: 1669422432 · CLAY, WV 25043 · Federally Qualified Health Center (FQHC) · NPI assigned 05/11/2006
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 | 05/11/2006 |
Other providers sharing the same authorized official: POTASNIK, DORA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 667 | $51K |
| 2019 | 837 | $55K |
| 2020 | 952 | $51K |
| 2021 | 612 | $38K |
| 2022 | 2,722 | $206K |
| 2023 | 3,469 | $309K |
| 2024 | 2,038 | $189K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 4,205 | 2,822 | $848K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3,319 | 2,335 | $25K |
| 87428 | 409 | 369 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1,420 | 1,073 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 497 | 424 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 130 | 121 | $5K |
| 90686 | 424 | 357 | $260.56 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 141 | 112 | $5.00 |
| 92551 | 163 | 130 | $0.00 | |
| 90656 | 62 | 62 | $0.00 | |
| 1036F | 58 | 45 | $0.00 | |
| 3074F | 70 | 54 | $0.00 | |
| 1159F | 70 | 54 | $0.00 | |
| 90832 | Psychotherapy, 30 minutes with patient | 152 | 51 | $0.00 |
| 3078F | 68 | 53 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 39 | 34 | $0.00 |
| 1160F | 70 | 54 | $0.00 |