Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRIMARY CARE HEALTH SERVICES, INC.

NPI: 1144390683 · BRADDOCK, PA 15104 · Federally Qualified Health Center (FQHC) · NPI assigned 11/09/2006

$35K
Total Medicaid Paid
340
Total Claims
314
Beneficiaries
6
Codes Billed
2020-10
First Month
2021-08
Last Month

Provider Details

Authorized OfficialPAYNE, WILFORD (EXECUTIVE DIRECTOR)
Parent OrganizationPRIMARY CARE HEALTH SERVICES, INC.
NPI Enumeration Date11/09/2006

Related Entities

Other providers sharing the same authorized official: PAYNE, WILFORD

ProviderCityStateTotal 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. MCKEESPORT PA $34K
PRIMARY CARE HEALTH SERVICES INC. PITTSBURGH PA $19K
PRIMARY CARE HEALTH SERVICES, INC. PITTSBURGH PA $16K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 124 $6K
2021 216 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 246 221 $35K
92551 14 14 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 16 15 $0.00
90686 21 21 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 13 13 $0.00
99173 30 30 $0.00