Clinic
Primary Care Health Services INC.
Primary Care Health Services INC. was paid $19K by Medicaid between Oct 2020 and Aug 2021, across 2 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoPRIMARY CARE HEALTH SERVICES INC.
PITTSBURGH, PA 15220
PITTSBURGH, PA 15220
33aNPI1003986498assigned 11/09/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$19K
24GClaims177
24DCodes billed2
24AFirst – last monthOct 2020 – Aug 2021
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#212 of 240
Median peer was paid$909K
This provider vs. median0.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 42 | $5K | |
| 2021 | 135 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 100% | 160 | 144 | $19K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 17 | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPAYNE, WILFORD (EXECUTIVE DIRECTOR)
Parent organizationPRIMARY CARE HEALTH SERVICES, INC.
| Provider | Location | Paid |
|---|---|---|
| Primary Care Health Services, INC. | Pittsburgh, PA | $2.25M |
| Arden of South Mississippi, LLC | Poplarville, MS | $274K |
| Arden of North Mississippi, LLC | Olive Branch, MS | $77K |
| Arden of Central Mississippi, LLC | Ridgeland, MS | $73K |
| Primary Care Health Services, INC. | Braddock, PA | $35K |
| Primary Care Health Services INC. | Mckeesport, PA | $34K |
| Primary Care Health Services, INC. | Pittsburgh, PA | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.