Primary Health Network

Primary Health Network was paid $1.94M by Medicaid between Feb 2018 and Dec 2024, across 16 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
INDIANA, PA 15701

33aNPI1992031215assigned 10/21/2009

33bProvider typeFederally Qualified Health Center (FQHC)

28Total paid$1.94M

24GClaims17,927

24DCodes billed16

24AFirst – last monthFeb 2018 – Dec 2024

Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Pennsylvania

Rank by total paid#89 of 240

Median peer was paid$909K

This provider vs. median2.1×

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	149	$23K
2019	3,323	$310K
2020	1,389	$114K
2021	4,236	$280K
2022	2,454	$300K
2023	3,239	$455K
2024incomplete	3,137	$461K

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%	8,642	7,794	$1.94M
D0140	Limited oral evaluation - problem focused	0%	473	465	$0.00
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	0%	713	552	$0.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	0%	2,047	2,043	$0.00
D0272	Bitewings - two radiographic images	0%	406	405	$0.00
D1206	Topical application of fluoride varnish	0%	590	590	$0.00
D0230	Intraoral - periapical each additional radiographic image	0%	183	142	$0.00
D0150	Comprehensive oral evaluation - new or established patient	0%	747	742	$0.00
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	0%	161	144	$0.00
D9995		0%	118	117	$0.00
D1120	Dental cleaning, childProphylaxis - child	0%	261	261	$0.00
D0220	Intraoral - periapical first radiographic image	0%	954	943	$0.00

4 more codes

D0330	Panoramic radiographic image	0%	142	$0.00
D0274	Bitewings - four radiographic images	0%	1,241	$0.00
D1110	Prophylaxis - adult	0%	1,232	$0.00
D2391	Resin-based composite - one surface, posterior, primary or permanent	0%	17	$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 (CHIEF FINANCIAL OFFICER)

Same official

Other billing entities under SIZER, CARL

Full network →

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	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.