NPI: 1992754592 · IVYDALE, WV 25113 · Federally Qualified Health Center (FQHC) · NPI assigned 05/09/2006
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 | 05/09/2006 |
Other providers sharing the same authorized official: POTASNIK, DORA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,963 | $135K |
| 2019 | 2,169 | $72K |
| 2020 | 2,976 | $145K |
| 2021 | 3,658 | $173K |
| 2022 | 4,246 | $327K |
| 2023 | 8,441 | $493K |
| 2024 | 7,931 | $389K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 12,318 | 9,404 | $1.64M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5,190 | 4,121 | $31K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3,832 | 3,309 | $26K |
| 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 | 2,360 | 2,106 | $16K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 267 | 246 | $10K |
| 87428 | 183 | 173 | $6K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 75 | 75 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 139 | 116 | $931.30 |
| 90674 | 14 | 13 | $703.07 | |
| 90686 | 133 | 114 | $367.24 | |
| 1036F | 743 | 564 | $0.00 | |
| 3074F | 1,238 | 998 | $0.00 | |
| 1126F | 458 | 383 | $0.00 | |
| 1125F | 682 | 528 | $0.00 | |
| 1034F | 371 | 288 | $0.00 | |
| 3075F | 93 | 76 | $0.00 | |
| 3079F | 88 | 73 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 49 | 27 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 37 | 37 | $0.00 |
| 1159F | 1,178 | 907 | $0.00 | |
| 90837 | Psychotherapy, 53 minutes with patient | 432 | 216 | $0.00 |
| 3078F | 1,275 | 1,004 | $0.00 | |
| 1160F | 1,148 | 881 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 19 | 12 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 37 | 36 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 13 | 12 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 12 | 12 | $0.00 |