Physician
Primecare Community Health, INC.
Primecare Community Health, INC. was paid $11.33M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoPRIMECARE COMMUNITY HEALTH, INC.
CHICAGO, IL 60622
CHICAGO, IL 60622
33aNPI1225010911assigned 11/17/2005
33bProvider typeFamily Medicine Physician
28Total paid$11.33M
24GClaims261,778
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#5 of 2,947
Median peer was paid$43K
This provider vs. median266×
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 | |
|---|---|---|---|
| 2018 | 13,616 | $693K | |
| 2019 | 25,780 | $1.24M | |
| 2020 | 36,610 | $2.38M | |
| 2021 | 44,686 | $1.73M | |
| 2022 | 51,386 | $1.93M | |
| 2023 | 54,614 | $1.76M | |
| 2024incomplete | 35,086 | $1.60M |
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 | 99% | 80,063 | 53,799 | $11.25M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 1,154 | 786 | $73K |
| 90686 | <1% | 3,204 | 2,635 | $3K | |
| 0012A | <1% | 50 | 33 | $2K | |
| 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% | 45,860 | 33,651 | $2K |
| 0011A | <1% | 49 | 44 | $2K | |
| 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 | <1% | 4,961 | 3,465 | $939.64 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 60 | 51 | $395.80 |
| 90715 | <1% | 794 | 617 | $328.81 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 313 | 242 | $273.80 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 691 | 608 | $217.75 |
| 0502F | <1% | 2,774 | 1,500 | $174.30 |
45 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,563 | $163.00 |
| 81025 | <1% | 1,793 | $162.33 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 194 | $78.50 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 140 | $58.86 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,094 | $39.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,458 | $38.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,919 | $35.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,418 | $28.00 |
| 81002 | <1% | 755 | $25.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,400 | $25.00 |
| 90656 | <1% | 51 | $20.64 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 524 | $16.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,432 | $5.75 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,548 | $4.00 |
| 1160F | <1% | 16,015 | $2.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 198 | $2.00 |
| 1036F | <1% | 14,170 | $1.00 | |
| 3725F | <1% | 13,526 | $1.00 | |
| 96127 | 0% | 1,179 | $0.00 | |
| 90677 | 0% | 196 | $0.00 | |
| 3075F | 0% | 2,680 | $0.00 | |
| 3074F | 0% | 13,353 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 206 | $0.00 |
| 3079F | 0% | 4,344 | $0.00 | |
| 3080F | 0% | 767 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 160 | $0.00 |
| 99385 | 0% | 250 | $0.00 | |
| 3008F | 0% | 18,054 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 409 | $0.00 |
| 3044F | 0% | 62 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 157 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 111 | $0.00 |
| 99383 | 0% | 29 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 32 | $0.00 |
| 99384 | 0% | 41 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| 87428 | 0% | 15 | $0.00 | |
| 3052F | 0% | 13 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 1,356 | $0.00 |
| 3078F | 0% | 12,458 | $0.00 | |
| 3077F | 0% | 1,621 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 351 | $0.00 |
| 90837 | Psychotherapy session, about an hour | 0% | 677 | $0.00 |
| 3046F | 0% | 35 | $0.00 | |
| 99201 | 0% | 39 | $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 officialMOLDOVAN, JOSEPH (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Primecare Community Health, INC. | Chicago, IL | $10.05M |
| Primecare Community Health INC | Chicago, IL | $8.46M |
| Primecare Community Health, INC. | Chicago, IL | $4.34M |
| Primecare Community Health INC. | Chicago, IL | $1.19M |
| Primecare Community Health, INC. | Chicago, IL | $1.15M |
| Primecare Community Health INC | Chicago, IL | $907K |
| Chicago Family Health Center INC | Chicago, IL | $27K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.