NPI: 1750892188 · SUTTON, WV 26601 · Federally Qualified Health Center (FQHC) · NPI assigned 10/12/2017
Authorized official POTASNIK, DORA controls 20+ related entities in our dataset. Read more
| Authorized Official | POTASNIK, DORA (CREDENTIALING COORDINATOR) |
| NPI Enumeration Date | 10/12/2017 |
Other providers sharing the same authorized official: POTASNIK, DORA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 47 | $5K |
| 2019 | 25 | $3K |
| 2020 | 22 | $3K |
| 2021 | 14 | $2K |
| 2022 | 98 | $10K |
| 2023 | 87 | $9K |
| 2024 | 45 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 201 | 136 | $35K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 64 | 52 | $744.24 |
| 90686 | 44 | 36 | $0.00 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14 | 13 | $0.00 |
| 90656 | 15 | 15 | $0.00 |