Clinic
Primary Care Health Services, INC.
Primary Care Health Services, INC. was paid $2.25M by Medicaid between Apr 2018 and Dec 2024, across 68 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoPRIMARY CARE HEALTH SERVICES, INC.
PITTSBURGH, PA 15208
PITTSBURGH, PA 15208
33aNPI1487724084assigned 11/09/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.25M
24GClaims41,856
24DCodes billed68
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#82 of 240
Median peer was paid$909K
This provider vs. median2.5×
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.
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 | 12 | $1K | |
| 2019 | 32 | $3K | |
| 2020 | 1,401 | $72K | |
| 2021 | 5,529 | $409K | |
| 2022 | 5,827 | $485K | |
| 2023 | 5,283 | $387K | |
| 2024incomplete | 23,772 | $888K |
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 | 100% | 16,646 | 14,665 | $2.24M |
| 90651 | <1% | 129 | 127 | $317.32 | |
| 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% | 2,693 | 2,507 | $314.97 |
| 3077F | <1% | 908 | 837 | $240.00 | |
| 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% | 1,732 | 1,614 | $215.00 |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 766 | 665 | $213.99 |
| 3079F | <1% | 920 | 880 | $195.00 | |
| 3080F | <1% | 610 | 570 | $195.00 | |
| 3074F | <1% | 1,697 | 1,590 | $175.00 | |
| 3078F | <1% | 1,796 | 1,681 | $135.00 | |
| 3075F | <1% | 671 | 647 | $100.00 | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 118 | 116 | $40.00 |
56 more codes
| D1110 | Prophylaxis - adult | <1% | 206 | $36.00 |
| 3044F | <1% | 124 | $25.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 893 | $10.00 |
| 90461 | <1% | 428 | $10.00 | |
| 83037 | 0% | 229 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 205 | $0.00 |
| 99173 | 0% | 1,772 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 124 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 332 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 540 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 92 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 205 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 151 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 60 | $0.00 |
| 3046F | 0% | 33 | $0.00 | |
| 1160F | 0% | 200 | $0.00 | |
| 1159F | 0% | 233 | $0.00 | |
| 82948 | 0% | 230 | $0.00 | |
| 90734 | 0% | 40 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 182 | $0.00 |
| 90715 | 0% | 71 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 20 | $0.00 |
| 81002 | 0% | 82 | $0.00 | |
| 91322 | 0% | 48 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 24 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 59 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 99 | $0.00 |
| D1999 | 0% | 42 | $0.00 | |
| 81025 | 0% | 29 | $0.00 | |
| D9110 | 0% | 115 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 234 | $0.00 |
| 90633 | 0% | 44 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 30 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 25 | $0.00 |
| 90710 | 0% | 14 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 14 | $0.00 |
| 92551 | 0% | 1,681 | $0.00 | |
| 1126F | 0% | 286 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 990 | $0.00 |
| 90686 | 0% | 362 | $0.00 | |
| 90677 | 0% | 144 | $0.00 | |
| 1125F | 0% | 215 | $0.00 | |
| 96127 | 0% | 326 | $0.00 | |
| 86580 | 0% | 34 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,035 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 71 | $0.00 |
| 90480 | 0% | 50 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 121 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 224 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 165 | $0.00 |
| 90688 | 0% | 38 | $0.00 | |
| 90619 | 0% | 94 | $0.00 | |
| 99406 | 0% | 12 | $0.00 | |
| 99384 | 0% | 12 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 54 | $0.00 |
| 90697 | 0% | 27 | $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 officialPAYNE, WILFORD (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| 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. | Braddock, PA | $35K |
| Primary Care Health Services INC. | Mckeesport, PA | $34K |
| Primary Care Health Services INC. | Pittsburgh, PA | $19K |
| Primary Care Health Services, INC. | Pittsburgh, PA | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.