Primary Health Care, INC.

Primary Health Care, INC. was paid $114K by Medicaid between Oct 2022 and Nov 2024, across 17 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.

33Billing provider infoPRIMARY HEALTH CARE, INC.
DES MOINES, IA 50315

33aNPI1043970916assigned 12/20/2021

33bProvider typeFederally Qualified Health Center (FQHC)

28Total paid$114K

24GClaims1,726

24DCodes billed17

24AFirst – last monthOct 2022 – Nov 2024

Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Iowa

Rank by total paid#26 of 36

Median peer was paid$1.10M

This provider vs. median0.1×

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
2022	136	$11K
2023	230	$25K
2024incomplete	1,360	$78K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1015	A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive	100%	589	459	$114K
2001F		0%	148	143	$0.00
2000F		0%	148	142	$0.00
2010F		0%	150	144	$0.00
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	0%	13	13	$0.00
3074F		0%	144	139	$0.00
90651		0%	22	22	$0.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	13	13	$0.00
90619		0%	42	39	$0.00
99384		0%	20	18	$0.00
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	0%	15	15	$0.00
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	0%	14	13	$0.00

5 more codes

90460	Immunization administration through 18 years of age via any route, first or only component	0%	205	$0.00
3078F		0%	143	$0.00
90461		0%	32	$0.00
90715		0%	16	$0.00
90633		0%	12	$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)

Same official

Other billing entities under SIMPSON, NATHANIEL

Full network →

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.	Marshalltown, IA	$5.34M
Primary Health Care, INC.	Urbandale, IA	$3.85M
Primary Health Care, INC.	Des Moines, IA	$180K
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.