PRIMARY HEALTH NETWORK

NPI: 1447382296 · MERCER, PA 16137 · Federally Qualified Health Center (FQHC) · NPI assigned 03/09/2007

Billing Flags · Automated signals — not evidence of fraud

Single-Code Concentration

100% of spending on code T1015 with only 1 total codes billed. Highly concentrated billing profile.

Entity Proliferation

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

$12.27M

Total Medicaid Paid

59,773

Total Claims

45,332

Beneficiaries

Codes Billed

2018-01

First Month

2024-12

Last Month

Provider Details

Authorized Official	SIZER, CARL (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date	03/09/2007

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	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

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic visit/encounter, all-inclusive	59,773	45,332	$12.27M