NPI: 1699024547 · LOST CREEK, WV 26385 · Federally Qualified Health Center (FQHC) · NPI assigned 09/06/2012
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 | 09/06/2012 |
Other providers sharing the same authorized official: POTASNIK, DORA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $2K |
| 2020 | 13 | $2K |
| 2022 | 81 | $5K |
| 2023 | 93 | $11K |
| 2024 | 165 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 183 | 154 | $40K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 54 | 47 | $562.08 |
| 90686 | 57 | 47 | $22.60 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 12 | 12 | $0.00 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 60 | 57 | $0.00 |