Primary Health Care, INC.
Primary Health Care, INC. was paid $49K by Medicaid between May 2021 and Feb 2022, across 3 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.
DES MOINES, IA 50320
Next to other Federally Qualified Health Center (FQHC) providers in Iowa
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 42 | $5K | |
| 2022 | 401 | $44K |
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% | 220 | 213 | $49K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 0% | 13 | 13 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 210 | 203 | $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.
Who's on the registration
| 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 | $114K |
| 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.