Clinic
Primary Health Network
Primary Health Network was paid $57.95M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoPRIMARY HEALTH NETWORK
SHARON, PA 16146
SHARON, PA 16146
33aNPI1417932609assigned 12/09/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$57.95M
24GClaims396,925
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#1 of 240
Median peer was paid$909K
This provider vs. median64×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SIZER, CARL controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 60,479 | $10.35M |
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 | 99% | 297,950 | 232,108 | $57.22M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 33,878 | 31,214 | $405K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 8,861 | 8,471 | $196K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,273 | 5,761 | $62K |
| 0012A | <1% | 706 | 697 | $24K | |
| 0011A | <1% | 744 | 726 | $21K | |
| 0064A | <1% | 166 | 165 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 57 | 55 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 228 | 219 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,244 | 1,228 | $2K |
| 90686 | <1% | 1,177 | 1,132 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 122 | 122 | $1K |
49 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 437 | $1K |
| G0467 | Community health center visit, returning patient | <1% | 411 | $595.38 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 247 | $449.48 |
| 11721 | <1% | 515 | $391.60 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 15 | $232.50 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 17 | $209.75 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 29 | $174.49 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 17 | $159.64 |
| 98940 | <1% | 433 | $75.81 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 115 | $66.45 |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 45 | $21.19 |
| 91301 | <1% | 1,218 | $0.04 | |
| 3008F | 0% | 23,956 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 1,455 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 8,716 | $0.00 |
| 3079F | 0% | 752 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 68 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 428 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 206 | $0.00 |
| 3074F | 0% | 1,134 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 1,213 | $0.00 |
| 3075F | 0% | 197 | $0.00 | |
| 90723 | 0% | 17 | $0.00 | |
| 90656 | 0% | 19 | $0.00 | |
| 91306 | 0% | 160 | $0.00 | |
| D9995 | 0% | 42 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 58 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 36 | $0.00 |
| D0603 | 0% | 65 | $0.00 | |
| 90651 | 0% | 44 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 16 | $0.00 |
| 92551 | 0% | 12 | $0.00 | |
| 90647 | 0% | 12 | $0.00 | |
| 3078F | 0% | 544 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 0% | 258 | $0.00 |
| 90734 | 0% | 133 | $0.00 | |
| D1110 | Prophylaxis - adult | 0% | 877 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 358 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 77 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 211 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 203 | $0.00 |
| 99173 | 0% | 227 | $0.00 | |
| 90715 | 0% | 77 | $0.00 | |
| 90670 | 0% | 102 | $0.00 | |
| 87210 | 0% | 27 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 242 | $0.00 |
| G9920 | Screening performed and negative | 0% | 29 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 36 | $0.00 |
| 90633 | 0% | 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 officialSIZER, CARL (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| 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 |
| Primary Health Network | Erie, PA | $546K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.