Primary Health Network
Primary Health Network was paid $1.19M by Medicaid between Jun 2019 and Dec 2024, across 10 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.
SHAMOKIN, PA 17872
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 451 | $36K | |
| 2020 | 1,179 | $108K | |
| 2021 | 2,503 | $203K | |
| 2022 | 2,624 | $235K | |
| 2023 | 3,444 | $329K | |
| 2024incomplete | 3,061 | $282K |
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% | 5,730 | 5,210 | $1.19M |
| 0011A | <1% | 49 | 48 | $2K | |
| 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% | 1,517 | 1,483 | $1K |
| 0012A | <1% | 20 | 20 | $760.00 | |
| 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% | 2,321 | 2,154 | $643.12 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 776 | 715 | $0.00 |
| 3008F | 0% | 2,742 | 2,598 | $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% | 32 | 24 | $0.00 |
| 91301 | 0% | 61 | 60 | $0.00 | |
| 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 | 0% | 14 | 12 | $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.
Who's on the registration
| Provider | Location | 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 | 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.