Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › MARSHALLTOWN › PRIMARY HEALTH CARE, INC.

PRIMARY HEALTH CARE, INC.

NPI: 1003293317 · MARSHALLTOWN, IA 50158 · Federally Qualified Health Center (FQHC) · NPI assigned 05/06/2015

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

Authorized official SIMPSON, NATHANIEL controls 12+ related entities in our dataset. Read more

$5.34M
Total Medicaid Paid
94,287
Total Claims
81,554
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMPSON, NATHANIEL (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date05/06/2015

Related Entities

Other providers sharing the same authorized official: SIMPSON, NATHANIEL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 15,680 $970K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9999 Unspecified adjunctive procedure, by report 19,611 15,780 $3.07M
D0999 Unspecified diagnostic procedure, by report 9,490 8,588 $2.16M
D1120 Prophylaxis - child 7,271 6,888 $20K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,009 1,287 $13K
D1999 78 67 $13K
D0120 Periodic oral evaluation - established patient 7,971 7,581 $13K
D1206 Topical application of fluoride varnish 8,934 8,486 $13K
D0272 Bitewings - two radiographic images 3,555 3,329 $5K
D0330 Panoramic radiographic image 2,627 2,555 $4K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,224 885 $4K
D0150 Comprehensive oral evaluation - new or established patient 3,098 3,006 $3K
D0274 Bitewings - four radiographic images 3,427 3,342 $2K
D1110 Prophylaxis - adult 2,098 2,047 $2K
D0603 2,392 2,315 $2K
D0140 Limited oral evaluation - problem focused 3,189 3,010 $2K
D1351 Sealant - per tooth 4,404 1,294 $2K
D0220 Intraoral - periapical first radiographic image 4,790 4,486 $1K
D7140 Extraction, erupted tooth or exposed root 1,560 949 $628.64
D2930 Prefabricated stainless steel crown - primary tooth 342 217 $396.00
D4341 79 56 $297.40
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 19 12 $253.97
D0230 Intraoral - periapical each additional radiographic image 1,027 862 $167.06
D0145 Oral evaluation for a patient under three years of age 806 763 $134.43
D0210 Intraoral - complete series of radiographic images 454 431 $52.62
D0602 257 244 $50.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 948 750 $0.63
D2150 Silver amalgam - two surfaces, primary or permanent 139 109 $0.60
D4910 27 27 $0.19
D2140 195 159 $0.00
D1354 90 30 $0.00
D0601 13 13 $0.00
D1330 1,208 1,116 $0.00
D1353 83 41 $0.00
D1310 872 829 $0.00