PRIMARY HEALTH NETWORK

NPI: 1407359060 · SHENANDOAH, PA 17976 · Federally Qualified Health Center (FQHC) · NPI assigned 03/09/2018

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official SIZER, CARL controls 20+ related entities in our dataset. Read more

$363K

Total Medicaid Paid

3,246

Total Claims

2,800

Beneficiaries

Codes Billed

2019-05

First Month

2024-08

Last Month

Provider Details

Authorized Official	SIZER, CARL (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date	03/09/2018

Other providers sharing the same authorized official: SIZER, CARL

Provider	City	State	Total Paid
PRIMARY HEALTH NETWORK	SHARON	PA	$57.95M
PRIMARY HEALTH NETWORK	ALTOONA	PA	$19.65M
PRIMARY HEALTH NETWORK	MERCER	PA	$12.27M
PRIMARY HEALTH NETWORK	FARRELL	PA	$5.60M
PRIMARY HEALTH NETWORK	LEWISTOWN	PA	$5.05M
PRIMARY HEALTH NETWORK	CLARION	PA	$3.53M
PRIMARY HEALTH NETWORK	SHARON	PA	$3.47M
PRIMARY HEALTH NETWORK	NEW CASTLE	PA	$3.21M
PRIMARY HEALTH NETWORK	SHARON	PA	$2.51M
PRIMARY HEALTH NETWORK	GREENVILLE	PA	$2.39M
PRIMARY HEALTH NETWORK	INDIANA	PA	$1.94M
PRIMARY HEALTH NETWORK	NEW CASTLE	PA	$1.84M
PRIMARY HEALTH NETWORK	ROCHESTER	PA	$1.66M
PRIMARY HEALTH NETWORK	SHEAKLEYVILLE	PA	$1.65M
PRIMARY HEALTH NETWORK	WARREN	PA	$1.28M
PRIMARY HEALTH NETWORK	MINERSVILLE	PA	$1.24M
PRIMARY HEALTH NETWORK	SHAMOKIN	PA	$1.19M
PRIMARY HEALTH NETWORK	BEAVER FALLS	PA	$1.02M
PRIMARY HEALTH NETWORK	LATROBE	PA	$914K
PRIMARY HEALTH NETWORK	FARRELL	PA	$622K

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic visit/encounter, all-inclusive	1,681	1,430	$361K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,020	890	$1K
3008F		322	287	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	202	173	$0.00
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	21	20	$0.00