Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRIMARY HEALTH NETWORK

NPI: 1578695904 · FARRELL, PA 16121 · Federally Qualified Health Center (FQHC) · NPI assigned 03/12/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$5.60M
Total Medicaid Paid
63,303
Total Claims
59,213
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIZER, CARL (CFO)
NPI Enumeration Date03/12/2007

Related Entities

Other providers sharing the same authorized official: SIZER, CARL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 12,208 $1.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 25,913 22,608 $5.60M
D1206 Topical application of fluoride varnish 2,123 2,120 $0.00
D2330 67 52 $0.00
D0272 Bitewings - two radiographic images 915 912 $0.00
D0603 245 234 $0.00
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 259 240 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,645 1,408 $0.00
D9995 627 621 $0.00
D0150 Comprehensive oral evaluation - new or established patient 1,102 1,102 $0.00
D0140 Limited oral evaluation - problem focused 2,519 2,446 $0.00
D0120 Periodic oral evaluation - established patient 8,372 8,336 $0.00
D2331 109 91 $0.00
D5899 64 44 $0.00
D0230 Intraoral - periapical each additional radiographic image 209 204 $0.00
D7140 Extraction, erupted tooth or exposed root 19 15 $0.00
D0602 24 24 $0.00
D1351 Sealant - per tooth 119 27 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,045 886 $0.00
D1110 Prophylaxis - adult 5,445 5,423 $0.00
D0220 Intraoral - periapical first radiographic image 2,709 2,677 $0.00
D0274 Bitewings - four radiographic images 5,754 5,731 $0.00
D0330 Panoramic radiographic image 3,420 3,415 $0.00
D1120 Prophylaxis - child 573 573 $0.00
D2332 26 24 $0.00