NPI: 1912932526 · ROCK CAVE, WV 26234 · Federally Qualified Health Center (FQHC) · NPI assigned 07/11/2006
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 | 07/11/2006 |
Other providers sharing the same authorized official: POTASNIK, DORA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13,874 | $913K |
| 2019 | 5,771 | $400K |
| 2020 | 14,684 | $924K |
| 2021 | 18,039 | $1.22M |
| 2022 | 21,917 | $1.90M |
| 2023 | 16,285 | $1.57M |
| 2024 | 10,360 | $761K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 44,979 | 36,154 | $6.97M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21,656 | 18,574 | $309K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 8,090 | 7,093 | $102K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2,051 | 1,892 | $32K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 807 | 749 | $29K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,766 | 1,627 | $29K |
| D0999 | Unspecified diagnostic procedure, by report | 91 | 83 | $26K |
| 87428 | 888 | 784 | $19K | |
| 92551 | 933 | 918 | $18K | |
| 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 | 3,018 | 2,279 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 446 | 435 | $16K |
| 90686 | 797 | 721 | $15K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 654 | 644 | $15K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 540 | 513 | $14K |
| 81002 | 628 | 592 | $14K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 383 | 364 | $11K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 225 | 212 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 394 | 357 | $7K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 284 | 263 | $6K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 321 | 302 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 467 | 415 | $4K |
| 90715 | 108 | 98 | $2K | |
| 90674 | 21 | 21 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 31 | 29 | $1K |
| 99173 | 62 | 62 | $1K | |
| 90837 | Psychotherapy, 53 minutes with patient | 1,331 | 705 | $772.55 |
| Q3014 | Telehealth originating site facility fee | 21 | 17 | $375.00 |
| 99348 | 17 | 12 | $152.23 | |
| 3078F | 1,100 | 966 | $0.00 | |
| 1159F | 1,161 | 980 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 325 | 309 | $0.00 |
| 1160F | 1,127 | 955 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 27 | 26 | $0.00 |
| 81025 | 26 | 26 | $0.00 | |
| 90832 | Psychotherapy, 30 minutes with patient | 134 | 105 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 45 | 45 | $0.00 |
| 81003 | 14 | 14 | $0.00 | |
| 3074F | 1,570 | 1,394 | $0.00 | |
| 1036F | 895 | 783 | $0.00 | |
| 1126F | 717 | 647 | $0.00 | |
| 99000 | 750 | 729 | $0.00 | |
| 1125F | 737 | 660 | $0.00 | |
| 3079F | 415 | 386 | $0.00 | |
| 1034F | 268 | 241 | $0.00 | |
| 90834 | Psychotherapy, 45 minutes with patient | 412 | 294 | $0.00 |
| 3075F | 50 | 40 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 32 | 31 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 14 | 13 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 55 | 55 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 28 | 26 | $0.00 |
| 90656 | 19 | 18 | $0.00 |