Medicaid Provider Spending

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

NPI: 1649676511 · ERIE, PA 16503 · Federally Qualified Health Center (FQHC) · NPI assigned 11/05/2014

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

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

$546K
Total Medicaid Paid
4,282
Total Claims
3,961
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialSIZER, CARL (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date11/05/2014

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,240 $110K
2019 654 $57K
2020 162 $26K
2021 532 $67K
2022 766 $127K
2023 739 $123K
2024 189 $36K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 3,419 3,160 $546K
0012A 25 12 $398.73
0011A 25 12 $203.28
3008F 171 169 $0.00
91301 37 27 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 379 359 $0.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 171 168 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 30 29 $0.00
90686 12 12 $0.00
99173 13 13 $0.00