Medicaid Provider Spending

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

PRIMARY HEALTH NETWORK

NPI: 1992031215 · INDIANA, PA 15701 · Federally Qualified Health Center (FQHC) · NPI assigned 10/21/2009

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

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

$1.94M
Total Medicaid Paid
17,927
Total Claims
16,814
Beneficiaries
16
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIZER, CARL (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date10/21/2009

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 8,642 7,794 $1.94M
D0140 Limited oral evaluation - problem focused 473 465 $0.00
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 713 552 $0.00
D0120 Periodic oral evaluation - established patient 2,047 2,043 $0.00
D0272 Bitewings - two radiographic images 406 405 $0.00
D1206 Topical application of fluoride varnish 590 590 $0.00
D0230 Intraoral - periapical each additional radiographic image 183 142 $0.00
D0150 Comprehensive oral evaluation - new or established patient 747 742 $0.00
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 161 144 $0.00
D9995 118 117 $0.00
D1120 Prophylaxis - child 261 261 $0.00
D0220 Intraoral - periapical first radiographic image 954 943 $0.00
D0330 Panoramic radiographic image 142 141 $0.00
D0274 Bitewings - four radiographic images 1,241 1,236 $0.00
D1110 Prophylaxis - adult 1,232 1,227 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 17 12 $0.00