Medicaid Provider Spending

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

PRIMARY HEALTH CARE, INC.

NPI: 1124177407 · DES MOINES, IA 50317 · Federally Qualified Health Center (FQHC) · NPI assigned 01/09/2007

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

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

$15.62M
Total Medicaid Paid
208,137
Total Claims
158,245
Beneficiaries
93
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMPSON, NATHANIEL (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date01/09/2007

Related Entities

Other providers sharing the same authorized official: SIMPSON, NATHANIEL

ProviderCityStateTotal Paid
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 $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 25,771 $1.72M
2019 25,557 $1.74M
2020 33,223 $2.39M
2021 33,461 $2.68M
2022 33,467 $2.73M
2023 28,224 $2.33M
2024 28,434 $2.04M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 82,545 53,069 $15.57M
S0280 Medical home program, comprehensive care coordination and planning, initial plan 505 415 $20K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 679 582 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,722 7,914 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32,927 26,716 $4K
0513F 84 82 $1K
3074F 1,337 1,142 $560.00
81025 2,281 2,076 $547.53
99223 Prolong inpt eval add15 m 1,009 941 $475.08
3078F 1,195 1,027 $460.00
3079F 359 327 $460.00
90472 Immunization administration, each additional vaccine (list separately) 3,004 2,720 $379.54
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 968 948 $358.50
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,344 5,168 $286.38
3044F 48 48 $260.00
3075F 179 168 $260.00
3077F 144 138 $240.00
90791 Psychiatric diagnostic evaluation 1,254 1,147 $209.20
99232 Subsequent hospital care, per day, moderate complexity 7,599 2,076 $190.57
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,767 1,721 $159.86
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,269 5,549 $125.44
90688 715 689 $86.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 475 451 $85.65
J1050 Injection, medroxyprogesterone acetate, 1 mg 426 400 $82.50
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,022 986 $78.82
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,259 2,100 $71.69
99238 Hospital discharge day management, 30 minutes or less 1,647 1,513 $70.11
83036 Hemoglobin; glycosylated (A1C) 3,419 3,330 $44.67
96158 20 20 $38.16
90715 585 564 $37.55
90460 Immunization administration through 18 years of age via any route, first or only component 1,656 1,494 $19.68
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 382 364 $17.04
80305 5,532 4,041 $14.35
90474 370 362 $13.72
81002 3,688 2,659 $10.92
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,209 1,129 $7.74
81003 1,771 1,659 $6.36
90832 Psychotherapy, 30 minutes with patient 2,506 2,074 $6.00
82043 14 12 $3.60
82570 14 12 $3.21
90633 664 646 $0.00
90473 99 80 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 76 71 $0.00
82947 289 279 $0.00
90461 770 708 $0.00
90670 1,179 1,163 $0.00
90621 56 56 $0.00
99222 Initial hospital care, per day, moderate complexity 528 493 $0.00
90681 287 248 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 132 129 $0.00
90707 323 318 $0.00
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 12 12 $0.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 32 29 $0.00
87210 65 40 $0.00
90734 334 328 $0.00
99233 Prolong inpt eval add15 m 16 13 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 31 31 $0.00
11981 12 12 $0.00
99219 29 26 $0.00
90658 80 79 $0.00
90837 Psychotherapy, 53 minutes with patient 57 41 $0.00
99215 Prolong outpt/office vis 41 40 $0.00
90700 14 14 $0.00
90687 37 37 $0.00
90686 1,382 1,316 $0.00
90647 1,168 1,113 $0.00
90723 1,212 1,153 $0.00
85018 2,178 2,072 $0.00
96156 81 73 $0.00
36415 Collection of venous blood by venipuncture 306 290 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 643 613 $0.00
3080F 112 104 $0.00
90680 505 498 $0.00
2000F 1,668 1,423 $0.00
90677 363 330 $0.00
90716 387 376 $0.00
99217 69 64 $0.00
99239 Hospital discharge day management, more than 30 minutes 162 153 $0.00
99381 95 90 $0.00
90834 Psychotherapy, 45 minutes with patient 566 366 $0.00
36416 264 254 $0.00
82044 844 829 $0.00
90651 421 411 $0.00
2001F 2,109 1,806 $0.00
90619 39 30 $0.00
2010F 2,155 1,845 $0.00
90792 Psychiatric diagnostic evaluation with medical services 24 24 $0.00
90656 179 178 $0.00
99384 36 33 $0.00
99443 13 13 $0.00
90480 14 14 $0.00
87428 38 36 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 12 12 $0.00