Medicaid Provider Spending

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

NPI: 1699156596 · MINERSVILLE, PA 17954 · Federally Qualified Health Center (FQHC) · NPI assigned 06/16/2015

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

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

$1.24M
Total Medicaid Paid
13,342
Total Claims
12,168
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIZER, CARL (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date06/16/2015

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 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 640 $41K
2019 1,350 $105K
2020 1,587 $155K
2021 1,956 $170K
2022 2,718 $257K
2023 2,998 $289K
2024 2,093 $224K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 6,348 5,700 $1.24M
0012A 36 36 $1K
0011A 43 42 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 922 884 $399.40
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 961 908 $391.96
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,789 1,578 $251.16
3008F 2,588 2,424 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 572 514 $0.00
36415 Collection of venous blood by venipuncture 16 16 $0.00
91301 67 66 $0.00