NPI: 1992755789 · CLAY, WV 25043 · Federally Qualified Health Center (FQHC) · NPI assigned 05/11/2006
Authorized official POTASNIK, DORA controls 20+ related entities in our dataset. Read more
| Authorized Official | POTASNIK, DORA (CREDENTIALING COORDINATOR) |
| NPI Enumeration Date | 05/11/2006 |
Other providers sharing the same authorized official: POTASNIK, DORA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 181 | $15K |
| 2019 | 157 | $8K |
| 2020 | 20 | $3K |
| 2022 | 271 | $12K |
| 2023 | 686 | $80K |
| 2024 | 735 | $95K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 934 | 749 | $208K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 457 | 370 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 220 | 170 | $3K |
| 87428 | 13 | 12 | $401.57 | |
| 90686 | 182 | 136 | $170.88 | |
| 92551 | 92 | 91 | $0.00 | |
| 1036F | 13 | 13 | $0.00 | |
| 1159F | 13 | 13 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 89 | 88 | $0.00 |
| 1160F | 13 | 13 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 24 | 14 | $0.00 |