NPI: 1861831323 · LUMBERPORT, WV 26386 · Federally Qualified Health Center (FQHC) · NPI assigned 06/18/2013
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 | 06/18/2013 |
Other providers sharing the same authorized official: POTASNIK, DORA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 288 | $24K |
| 2019 | 448 | $11K |
| 2020 | 256 | $17K |
| 2021 | 235 | $7K |
| 2022 | 249 | $14K |
| 2023 | 736 | $68K |
| 2024 | 437 | $67K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 1,040 | 868 | $196K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 467 | 389 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 423 | 299 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 91 | 74 | $307.51 |
| 90686 | 305 | 230 | $253.48 | |
| 1036F | 21 | 17 | $0.00 | |
| 90651 | 41 | 13 | $0.00 | |
| 92551 | 85 | 83 | $0.00 | |
| 3074F | 22 | 18 | $0.00 | |
| 99000 | 13 | 12 | $0.00 | |
| 3078F | 23 | 19 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 74 | 73 | $0.00 |
| 1159F | 22 | 18 | $0.00 | |
| 1160F | 22 | 18 | $0.00 |