Clinic
Primary Health Services Center
Primary Health Services Center was paid $11.63M by Medicaid between Jan 2018 and Nov 2024, across 59 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 infoPRIMARY HEALTH SERVICES CENTER
MONROE, LA 71201
MONROE, LA 71201
33aNPI1316291495assigned 10/29/2012
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$11.63M
24GClaims323,528
24DCodes billed59
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Louisiana
Rank by total paid#16 of 272
Median peer was paid$574K
This provider vs. median20×
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 | 46,560 | $1.95M | |
| 2019 | 36,580 | $1.73M | |
| 2020 | 32,523 | $1.57M | |
| 2021 | 54,404 | $1.58M | |
| 2022 | 52,010 | $1.54M | |
| 2023 | 53,151 | $1.53M | |
| 2024incomplete | 48,300 | $1.73M |
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% | 95,769 | 68,642 | $11.49M |
| 98960 | 1.0% | 3,495 | 1,177 | $121K | |
| D0330 | Panoramic radiographic image | <1% | 207 | 129 | $6K |
| 99051 | <1% | 317 | 274 | $5K | |
| D0274 | Bitewings - four radiographic images | <1% | 128 | 87 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 64 | 27 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 93 | 46 | $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% | 60,677 | 45,974 | $1K |
| 3074F | <1% | 14,469 | 10,163 | $710.00 | |
| 3078F | <1% | 10,297 | 7,251 | $495.00 | |
| 3079F | <1% | 6,704 | 5,072 | $355.00 | |
| 3075F | <1% | 2,775 | 2,160 | $175.00 |
47 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 4,948 | $62.18 |
| 88142 | <1% | 1,015 | $12.02 | |
| 81025 | <1% | 25,604 | $10.12 | |
| 3080F | <1% | 421 | $10.00 | |
| 90686 | <1% | 307 | $5.25 | |
| 81002 | <1% | 6,791 | $5.08 | |
| 3077F | <1% | 129 | $5.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 1,300 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 6,261 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 7,507 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 201 | $0.00 |
| 90633 | 0% | 898 | $0.00 | |
| 90648 | 0% | 537 | $0.00 | |
| 99173 | 0% | 7,368 | $0.00 | |
| 90658 | 0% | 541 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 1,233 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 2,579 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 787 | $0.00 |
| 99201 | 0% | 228 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 462 | $0.00 |
| 90734 | 0% | 1,027 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 353 | $0.00 |
| 90649 | 0% | 186 | $0.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 116 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 276 | $0.00 |
| 90715 | 0% | 476 | $0.00 | |
| 90700 | 0% | 26 | $0.00 | |
| 82948 | 0% | 56 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 90655 | 0% | 13 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 8,343 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 776 | $0.00 |
| 3008F | 0% | 33,517 | $0.00 | |
| D0999 | Unspecified diagnostic procedure, by report | 0% | 1,810 | $0.00 |
| 92551 | 0% | 4,742 | $0.00 | |
| 85018 | 0% | 4,514 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 1,220 | $0.00 |
| 90620 | 0% | 553 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 174 | $0.00 |
| 90723 | 0% | 368 | $0.00 | |
| 90696 | 0% | 119 | $0.00 | |
| 88141 | 0% | 65 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 269 | $0.00 |
| 97802 | 0% | 236 | $0.00 | |
| 90680 | 0% | 125 | $0.00 | |
| 90716 | 0% | 29 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 15 | $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 officialTONORE, CATHERINE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Primary Health Services Center | Monroe, LA | $12.08M |
| Primary Health Services Center | Monroe, LA | $5.51M |
| Primary Health Services Center | Monroe, LA | $2.92M |
| Primary Health Services Center | Grambling, LA | $2.90M |
| Primary Health Services Center | West Monroe, LA | $2.58M |
| Primary Health Services Center | Monroe, LA | $991K |
| Primary Health Services Center | Monroe, LA | $188K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.