Clinic
Primary Health Care, INC.
Primary Health Care, INC. was paid $5.34M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 58% of everything it billed.
33Billing provider infoPRIMARY HEALTH CARE, INC.
MARSHALLTOWN, IA 50158
MARSHALLTOWN, IA 50158
33aNPI1003293317assigned 05/06/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$5.34M
24GClaims94,287
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Iowa
Rank by total paid#14 of 36
Median peer was paid$1.10M
This provider vs. median4.9×
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 SIMPSON, NATHANIEL controls 12+ 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 | 20,328 | $944K | |
| 2019 | 20,280 | $969K | |
| 2020 | 9,680 | $624K | |
| 2021 | 15,715 | $797K | |
| 2022 | 5,366 | $445K | |
| 2023 | 7,238 | $588K | |
| 2024incomplete | 15,680 | $970K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9999 | Unspecified adjunctive procedure, by report | 58% | 19,611 | 15,780 | $3.07M |
| D0999 | Unspecified diagnostic procedure, by report | 41% | 9,490 | 8,588 | $2.16M |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 7,271 | 6,888 | $20K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 2,009 | 1,287 | $13K |
| D1999 | <1% | 78 | 67 | $13K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 7,971 | 7,581 | $13K |
| D1206 | Topical application of fluoride varnish | <1% | 8,934 | 8,486 | $13K |
| D0272 | Bitewings - two radiographic images | <1% | 3,555 | 3,329 | $5K |
| D0330 | Panoramic radiographic image | <1% | 2,627 | 2,555 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 1,224 | 885 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 3,098 | 3,006 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 3,427 | 3,342 | $2K |
22 more codes
| D1110 | Prophylaxis - adult | <1% | 2,098 | $2K |
| D0603 | <1% | 2,392 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 3,189 | $2K |
| D1351 | Sealant - per tooth | <1% | 4,404 | $2K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 4,790 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 1,560 | $628.64 |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 342 | $396.00 |
| D4341 | <1% | 79 | $297.40 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 19 | $253.97 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,027 | $167.06 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 806 | $134.43 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 454 | $52.62 |
| D0602 | <1% | 257 | $50.00 | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 948 | $0.63 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 139 | $0.60 |
| D4910 | <1% | 27 | $0.19 | |
| D2140 | 0% | 195 | $0.00 | |
| D1354 | 0% | 90 | $0.00 | |
| D0601 | 0% | 13 | $0.00 | |
| D1330 | 0% | 1,208 | $0.00 | |
| D1353 | 0% | 83 | $0.00 | |
| D1310 | 0% | 872 | $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 officialSIMPSON, NATHANIEL (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Primary Health Care, INC. | Des Moines, IA | $15.62M |
| Primary Health Care, INC. | Des Moines, IA | $14.14M |
| Primary Health Care, INC. | Des Moines, IA | $12.05M |
| Primary Health Care, INC. | Marshalltown, IA | $11.58M |
| Primary Health Care, INC. | Ames, IA | $8.05M |
| Primary Health Care, INC. | Des Moines, IA | $7.87M |
| Primary Health Care, INC. | Des Moines, IA | $7.23M |
| Primary Health Care, INC. | Urbandale, IA | $3.85M |
| Primary Health Care, INC. | Des Moines, IA | $180K |
| Primary Health Care, INC. | Des Moines, IA | $114K |
| Primary Health Care, INC. | Des Moines, IA | $49K |
| Primary Health Care, INC. | Des Moines, IA | $12K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.