NPI: 1891241030 · BUCKHANNON, WV 26201 · Federally Qualified Health Center (FQHC) · NPI assigned 08/28/2016
Authorized official POTASNIK, DORA controls 20+ related entities in our dataset. Read more
| Authorized Official | POTASNIK, DORA (CREDENTIALING COORDINATOR) |
| NPI Enumeration Date | 08/28/2016 |
Other providers sharing the same authorized official: POTASNIK, DORA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,865 | $649K |
| 2019 | 6,169 | $312K |
| 2020 | 12,029 | $664K |
| 2021 | 10,030 | $594K |
| 2022 | 12,713 | $930K |
| 2023 | 20,542 | $1.15M |
| 2024 | 18,294 | $782K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 32,273 | 26,043 | $4.63M |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 15,246 | 12,899 | $147K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9,557 | 8,100 | $143K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2,503 | 2,212 | $37K |
| 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 | 3,829 | 3,455 | $26K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 711 | 675 | $15K |
| 90686 | 950 | 822 | $14K | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 571 | 499 | $13K |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 474 | 420 | $12K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 365 | 324 | $6K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 148 | 130 | $6K |
| 81002 | 167 | 149 | $5K | |
| 90674 | 58 | 57 | $5K | |
| 87428 | 158 | 146 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 426 | 388 | $4K |
| 92551 | 205 | 193 | $4K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 351 | 314 | $4K |
| 90732 | 33 | 32 | $940.77 | |
| 90715 | 110 | 108 | $936.21 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 36 | 33 | $909.02 |
| 81025 | 105 | 61 | $507.46 | |
| 99495 | 25 | 24 | $471.91 | |
| 99173 | 14 | 14 | $304.46 | |
| 90746 | 13 | 12 | $149.19 | |
| 90656 | 63 | 56 | $118.23 | |
| 92250 | 35 | 30 | $15.22 | |
| 90837 | Psychotherapy, 53 minutes with patient | 151 | 75 | $14.45 |
| 80305 | 268 | 136 | $0.00 | |
| 3077F | 143 | 104 | $0.00 | |
| 1160F | 2,952 | 2,460 | $0.00 | |
| 3078F | 3,022 | 2,581 | $0.00 | |
| 1159F | 3,185 | 2,651 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 55 | 51 | $0.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 26 | 25 | $0.00 |
| 90633 | 14 | 13 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 107 | 92 | $0.00 |
| 90662 | 39 | 37 | $0.00 | |
| 91300 | 15 | 15 | $0.00 | |
| 90648 | 14 | 14 | $0.00 | |
| 99215 | Prolong outpt/office vis | 12 | 12 | $0.00 |
| 90670 | 26 | 26 | $0.00 | |
| 90653 | 20 | 20 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 73 | 70 | $0.00 |
| 3079F | 1,507 | 1,319 | $0.00 | |
| 3074F | 3,534 | 3,038 | $0.00 | |
| 1126F | 1,152 | 969 | $0.00 | |
| 3075F | 400 | 343 | $0.00 | |
| 1036F | 2,698 | 2,226 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 14 | 12 | $0.00 |
| 1034F | 1,223 | 1,024 | $0.00 | |
| 1125F | 630 | 497 | $0.00 | |
| 99000 | 65 | 63 | $0.00 | |
| 1035F | 266 | 231 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 206 | 192 | $0.00 |
| 1111F | 14 | 13 | $0.00 | |
| 3044F | 210 | 164 | $0.00 | |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 29 | 27 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 96 | 91 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 20 | 12 | $0.00 |
| 2023F | 14 | 12 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 16 | 13 | $0.00 |