PRIMARY HEALTH NETWORK

NPI: 1992073183 · ALIQUIPPA, PA 15001 · Federally Qualified Health Center (FQHC) · NPI assigned 12/02/2011

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$243K

Total Medicaid Paid

1,859

Total Claims

1,512

Beneficiaries

Codes Billed

2018-04

First Month

2024-10

Last Month

Provider Details

Authorized Official	SIZER, CARL (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date	12/02/2011

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	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

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic visit/encounter, all-inclusive	1,782	1,439	$243K
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	62	60	$0.00
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit	15	13	$0.00