Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Pennsylvania for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Pennsylvania only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Pennsylvania (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Primary Health Network (NPI 1578695904)

Field	Value
Entity Type	Organization
Organization	Primary Health Network
Address	350 Sharon New Castle Rd
City	Farrell
State	PA
ZIP	16121
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	March 12, 2007

Payer Source	Total Paid
Medicaid	$5.6M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	25,910	$220	$5.6M
D0120	Periodic oral evaluation - established patient	8,370	$0	$0
D0140	Limited oral evaluation – problem focused	2,520	$0	$0
D0150	Comprehensive oral evaluation – new or established patient	1,100	$0	$0
D0220	Intraoral - periapical first radiographic image	2,710	$0	$0
D0230	Intraoral - periapical each additional radiographic image	210	$0	$0
D0272	N/A	920	$0	$0
D0274	N/A	5,750	$0	$0
D0330	N/A	3,420	$0	$0
D0602	N/A	20	$0	$0

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Pennsylvania providers billing the same CPT/HCPCS codes.

Claims Volume vs. Pennsylvania Distribution

Primary Health Network — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. Pennsylvania median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	120	1,690	760	$170	$1.2M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	673	710	230	$70	$49.7K
D1351	Sealant - per tooth	477	600	480	$30	$46.6K
D2392	Post 2 surface resin‑based composite	55	960	190	$70	$35.1K
D1120	Prophylaxis–child	346	1,240	220	$30	$30.1K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	106	980	260	$20	$25K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	21	1,640	300	$30	$24.7K
D0120	Periodic oral evaluation - established patient	27	1,840	340	$20	$23.1K
D2391	Resin‑based composite – one surface, posterior	60	760	160	$50	$21.5K
D2393	Resin-based composite, three surfaces, posterior	83	430	80	$70	$14.8K

Showing 1–10 of 24

Nearby Providers

Other providers in the same ZIP code as Primary Health Network, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Center For Behavioral Health Ha, LLC	PA	Methadone Clinic	$229.2K	$8M
Marcus Estafanous	PA	Retina Specialist (Ophthalmology) Physician	$508.3K	$41.2K
Robert Multari	PA	Internal Medicine Physician	$143.3K	$0
Craig Grossman	PA	Radiation Oncology Physician	$143.2K	$0
Michael Friters	PA	Internal Medicine Physician	$59.8K	$0

Primary Health Network — Billing Profile & Reimbursement Data

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Primary Health Network — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References