Medicaid Provider Spending

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

PRIMARY HEALTH NETWORK

NPI: 1417932609 · SHARON, PA 16146 · 261QF0400X

$57.95M
Total Medicaid Paid
396,925
Total Claims
323,610
Beneficiaries
61
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 39,937 $5.42M
2019 30,114 $4.11M
2020 41,235 $5.89M
2021 85,370 $10.52M
2022 78,866 $11.21M
2023 60,924 $10.45M
2024 60,479 $10.35M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic service 297,950 232,108 $57.22M
99213 33,878 31,214 $405K
99214 8,861 8,471 $196K
99212 6,273 5,761 $62K
0012A 706 697 $24K
0011A 744 726 $21K
0064A 166 165 $5K
99394 57 55 $3K
90471 228 219 $3K
36415 1,244 1,228 $2K
90686 1,177 1,132 $2K
99392 122 122 $1K
83036 437 430 $1K
G0467 Fqhc visit, estab pt 411 384 $595.38
99395 247 243 $449.48
11721 515 513 $391.60
90460 15 14 $232.50
87880 17 16 $209.75
99393 29 29 $174.49
90472 17 16 $159.64
98940 433 180 $75.81
99396 115 114 $66.45
98941 45 25 $21.19
91301 1,218 1,172 $0.04
3008F 23,956 22,434 $0.00
D1206 1,455 1,409 $0.00
G8510 Scr dep neg, no plan reqd 8,716 7,916 $0.00
3079F 752 688 $0.00
D0272 68 68 $0.00
D1351 428 120 $0.00
D0140 206 152 $0.00
3074F 1,134 1,060 $0.00
D0120 1,213 1,112 $0.00
3075F 197 181 $0.00
90723 17 13 $0.00
90656 19 19 $0.00
91306 160 159 $0.00
D9995 42 41 $0.00
D2392 58 46 $0.00
G2025 Dis site tele svcs rhc/fqhc 36 36 $0.00
D0603 65 46 $0.00
90651 44 44 $0.00
D0150 16 16 $0.00
92551 12 12 $0.00
90647 12 12 $0.00
3078F 544 525 $0.00
D0274 258 192 $0.00
90734 133 131 $0.00
D1110 877 793 $0.00
D1120 358 330 $0.00
D0330 77 50 $0.00
99215 Prolong outpt/office vis 211 108 $0.00
G0444 Depression screen annual 203 195 $0.00
99173 227 222 $0.00
90715 77 75 $0.00
90670 102 96 $0.00
87210 27 26 $0.00
D0220 242 183 $0.00
G9920 Scrning perf and negative 29 29 $0.00
G9919 Scrn nd pos nd prov of rec 36 24 $0.00
90633 13 13 $0.00