NPI: 1962912261 · FLATWOODS, WV 26621 · Federally Qualified Health Center (FQHC) · NPI assigned 10/02/2017
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 | 10/02/2017 |
Other providers sharing the same authorized official: POTASNIK, DORA
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 116 | $15K |
| 2020 | 68 | $8K |
| 2022 | 56 | $336.20 |
| 2023 | 30 | $182.76 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 170 | 120 | $22K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 44 | 33 | $497.40 |
| 90686 | 42 | 32 | $21.56 | |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14 | 13 | $0.00 |