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: 1316379845 · DES MOINES, IA 50314 · Federally Qualified Health Center (FQHC) · NPI assigned 08/07/2013

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

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

$14.14M
Total Medicaid Paid
197,369
Total Claims
156,840
Beneficiaries
90
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMPSON, NATHANIEL (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date08/07/2013

Related Entities

Other providers sharing the same authorized official: SIMPSON, NATHANIEL

ProviderCityStateTotal Paid
PRIMARY HEALTH CARE, INC. DES MOINES IA $15.62M
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 25,827 $1.65M
2019 22,457 $1.56M
2020 25,830 $1.83M
2021 32,089 $2.44M
2022 30,437 $2.41M
2023 27,253 $2.12M
2024 33,476 $2.13M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 71,337 46,140 $14.13M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25,335 20,493 $3K
0513F 51 50 $780.00
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 35 26 $701.14
99460 1,069 1,000 $553.92
3074F 1,165 1,030 $440.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,233 5,814 $362.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,667 8,390 $300.97
3078F 1,025 914 $280.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 950 921 $269.32
3079F 282 269 $260.00
90472 Immunization administration, each additional vaccine (list separately) 5,308 5,123 $255.84
99238 Hospital discharge day management, 30 minutes or less 2,669 2,489 $220.54
81025 1,107 1,042 $161.46
3075F 108 105 $160.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4,097 3,998 $159.07
3077F 103 93 $140.00
99233 Prolong inpt eval add15 m 1,566 444 $123.33
99381 832 796 $88.72
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,033 3,641 $68.56
99217 161 151 $62.06
90715 855 831 $40.24
3044F 12 12 $40.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,236 5,198 $31.36
90460 Immunization administration through 18 years of age via any route, first or only component 2,774 2,691 $19.68
83036 Hemoglobin; glycosylated (A1C) 1,226 1,195 $18.64
90688 1,225 1,178 $15.05
90474 1,904 1,854 $13.72
81002 6,834 4,206 $7.44
85018 2,233 2,113 $3.69
36415 Collection of venous blood by venipuncture 795 713 $3.17
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,691 1,653 $0.00
81003 2,831 2,607 $0.00
90670 2,555 2,524 $0.00
90473 520 509 $0.00
90707 516 507 $0.00
90681 930 879 $0.00
90710 202 196 $0.00
99222 Initial hospital care, per day, moderate complexity 213 201 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 291 273 $0.00
90461 1,571 1,533 $0.00
90633 1,456 1,433 $0.00
99223 Prolong inpt eval add15 m 238 227 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 162 154 $0.00
90791 Psychiatric diagnostic evaluation 226 216 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 57 57 $0.00
90832 Psychotherapy, 30 minutes with patient 783 637 $0.00
90700 352 350 $0.00
90621 99 97 $0.00
90658 98 98 $0.00
90734 163 162 $0.00
99188 121 121 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 28 28 $0.00
82947 13 12 $0.00
87210 26 17 $0.00
99226 35 25 $0.00
90837 Psychotherapy, 53 minutes with patient 14 13 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 53 51 $0.00
90687 14 14 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 29 29 $0.00
99219 12 12 $0.00
99232 Subsequent hospital care, per day, moderate complexity 1,666 474 $0.00
82044 497 486 $0.00
90723 2,863 2,812 $0.00
93000 98 94 $0.00
99220 403 381 $0.00
99462 571 437 $0.00
90647 2,788 2,730 $0.00
90680 1,347 1,326 $0.00
90686 1,628 1,592 $0.00
90677 909 887 $0.00
36416 448 423 $0.00
2001F 2,477 2,143 $0.00
90651 254 252 $0.00
96156 83 82 $0.00
90834 Psychotherapy, 45 minutes with patient 221 141 $0.00
3080F 57 51 $0.00
90696 173 169 $0.00
82950 174 165 $0.00
90716 609 597 $0.00
2010F 2,529 2,181 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 97 88 $0.00
90381 50 50 $0.00
99383 18 17 $0.00
90619 59 58 $0.00
90656 323 319 $0.00
2000F 1,390 1,219 $0.00
96380 60 60 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 33 33 $0.00
99384 18 18 $0.00