Clinic
Primary Health Network
Primary Health Network was paid $5.60M by Medicaid between Jan 2018 and Dec 2024, across 24 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 HEALTH NETWORK
FARRELL, PA 16121
FARRELL, PA 16121
33aNPI1578695904assigned 03/12/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$5.60M
24GClaims63,303
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania
Rank by total paid#44 of 240
Median peer was paid$909K
This provider vs. median6.2×
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 | 2,366 | $271K | |
| 2019 | 11,079 | $917K | |
| 2020 | 3,451 | $267K | |
| 2021 | 11,813 | $785K | |
| 2022 | 6,943 | $652K | |
| 2023 | 15,443 | $1.49M | |
| 2024incomplete | 12,208 | $1.22M |
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% | 25,913 | 22,608 | $5.60M |
| D1206 | Topical application of fluoride varnish | 0% | 2,123 | 2,120 | $0.00 |
| D2330 | 0% | 67 | 52 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 0% | 915 | 912 | $0.00 |
| D0603 | 0% | 245 | 234 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 0% | 259 | 240 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 0% | 1,645 | 1,408 | $0.00 |
| D9995 | 0% | 627 | 621 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 1,102 | 1,102 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 0% | 2,519 | 2,446 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 8,372 | 8,336 | $0.00 |
| D2331 | 0% | 109 | 91 | $0.00 |
12 more codes
| D5899 | 0% | 64 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 209 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 19 | $0.00 |
| D0602 | 0% | 24 | $0.00 | |
| D1351 | Sealant - per tooth | 0% | 119 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 1,045 | $0.00 |
| D1110 | Prophylaxis - adult | 0% | 5,445 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 2,709 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 5,754 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 3,420 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 573 | $0.00 |
| D2332 | 0% | 26 | $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 (CFO)
| 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 | 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.