Clinic
Primary Health Care, INC.
Primary Health Care, INC. was paid $409K by Medicaid between Feb 2019 and Mar 2021, across 10 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.
MARSHALLTOWN, IA 50158
MARSHALLTOWN, IA 50158
33aNPI1083182984assigned 11/08/2018
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$409K
24GClaims5,517
24DCodes billed10
24AFirst – last monthFeb 2019 – Mar 2021
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Iowa
Rank by total paid#21 of 36
Median peer was paid$1.10M
This provider vs. median0.4×
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.
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 | |
|---|---|---|---|
| 2019 | 2,322 | $155K | |
| 2020 | 3,035 | $237K | |
| 2021 | 160 | $17K |
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% | 2,379 | 1,913 | $409K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,266 | 1,041 | $86.46 |
| 90688 | <1% | 38 | 37 | $33.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 69 | 65 | $5.09 |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 0% | 370 | 340 | $0.00 |
| 81025 | 0% | 462 | 413 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 29 | 27 | $0.00 |
| 81003 | 0% | 86 | 82 | $0.00 | |
| 81002 | 0% | 804 | 638 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 14 | 13 | $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 officialHUNTSMAN, KELLY (CEO)