PRIMARY HEALTH NETWORK

NPI: 1992060446 · CLARION, PA 16214 · Federally Qualified Health Center (FQHC) · NPI assigned 07/11/2012

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$3.53M

Total Medicaid Paid

31,012

Total Claims

27,612

Beneficiaries

Codes Billed

2018-01

First Month

2024-12

Last Month

Provider Details

Authorized Official	SIZER, CARL (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date	07/11/2012

Other providers sharing the same authorized official: SIZER, CARL

Provider	City	State	Total 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	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

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic visit/encounter, all-inclusive	19,028	16,091	$3.53M
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1,774	1,626	$251.16
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	509	479	$241.97
D0120	Periodic oral evaluation - established patient	2,265	2,211	$0.00
D0150	Comprehensive oral evaluation - new or established patient	293	290	$0.00
D1206	Topical application of fluoride varnish	902	897	$0.00
D9995		137	135	$0.00
3008F		353	334	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	310	283	$0.00
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	87	73	$0.00
D0230	Intraoral - periapical each additional radiographic image	14	14	$0.00
D0140	Limited oral evaluation - problem focused	263	250	$0.00
D5899		70	62	$0.00
D0272	Bitewings - two radiographic images	93	92	$0.00
D2160		15	14	$0.00
D1110	Prophylaxis - adult	2,336	2,280	$0.00
D0330	Panoramic radiographic image	409	406	$0.00
D1120	Prophylaxis - child	544	539	$0.00
D0274	Bitewings - four radiographic images	1,035	1,023	$0.00
D0220	Intraoral - periapical first radiographic image	356	339	$0.00
D2391	Resin-based composite - one surface, posterior, primary or permanent	177	138	$0.00
D2150	Silver amalgam - two surfaces, primary or permanent	27	21	$0.00
D0270		15	15	$0.00