NPI: 1770917577 · SUTTON, WV 26601 · Federally Qualified Health Center (FQHC) · NPI assigned 08/28/2013
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 | 08/28/2013 |
Other providers sharing the same authorized official: POTASNIK, DORA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,979 | $306K |
| 2019 | 2,370 | $127K |
| 2020 | 6,561 | $421K |
| 2021 | 7,040 | $470K |
| 2022 | 8,125 | $702K |
| 2023 | 18,966 | $1.45M |
| 2024 | 23,046 | $1.41M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 26,970 | 21,255 | $4.67M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12,204 | 10,043 | $75K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8,719 | 7,408 | $66K |
| 87428 | 1,824 | 1,667 | $38K | |
| 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 | 1,838 | 1,648 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 405 | 367 | $9K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 167 | 148 | $5K |
| 90674 | 35 | 35 | $3K | |
| 90686 | 188 | 165 | $2K | |
| 81003 | 118 | 98 | $756.80 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 14 | 13 | $550.42 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 16 | 12 | $333.84 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 12 | 12 | $189.72 |
| 90837 | Psychotherapy, 53 minutes with patient | 361 | 202 | $186.32 |
| 92551 | 28 | 27 | $152.23 | |
| 90834 | Psychotherapy, 45 minutes with patient | 130 | 74 | $118.63 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1,916 | 1,618 | $100.99 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 45 | 40 | $5.00 |
| 3078F | 2,848 | 2,373 | $0.00 | |
| 1159F | 2,143 | 1,595 | $0.00 | |
| 1160F | 2,018 | 1,491 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 91 | 75 | $0.00 |
| 3077F | 31 | 28 | $0.00 | |
| 90832 | Psychotherapy, 30 minutes with patient | 60 | 31 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 19 | 15 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 61 | 54 | $0.00 |
| 1126F | 964 | 842 | $0.00 | |
| 3079F | 428 | 352 | $0.00 | |
| 1125F | 1,234 | 1,019 | $0.00 | |
| 3074F | 2,925 | 2,436 | $0.00 | |
| 1036F | 1,880 | 1,489 | $0.00 | |
| 3075F | 211 | 174 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 44 | 40 | $0.00 |
| 1035F | 172 | 153 | $0.00 | |
| 1034F | 635 | 508 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 139 | 112 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 157 | 134 | $0.00 |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 19 | 18 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 18 | 17 | $0.00 |