Clinic
Primary Health Care, INC.
Primary Health Care, INC. was paid $3.85M by Medicaid between Jan 2018 and Dec 2024, across 46 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.
33Billing provider infoPRIMARY HEALTH CARE, INC.
URBANDALE, IA 50322
URBANDALE, IA 50322
33aNPI1396270831assigned 04/21/2017
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.85M
24GClaims41,058
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Iowa
Rank by total paid#15 of 36
Median peer was paid$1.10M
This provider vs. median3.5×
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.
Entity ProliferationAuthorized official SIMPSON, NATHANIEL controls 12+ related entities in our dataset. Read more
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 | 722 | $66K | |
| 2019 | 970 | $88K | |
| 2020 | 1,645 | $185K | |
| 2021 | 4,601 | $486K | |
| 2022 | 5,708 | $593K | |
| 2023 | 11,287 | $1.24M | |
| 2024incomplete | 16,125 | $1.20M |
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 | 100% | 16,985 | 12,708 | $3.85M |
| 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% | 8,605 | 7,393 | $698.69 |
| 3074F | <1% | 976 | 841 | $260.00 | |
| 3079F | <1% | 413 | 370 | $180.00 | |
| 3078F | <1% | 817 | 715 | $180.00 | |
| 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% | 1,482 | 1,282 | $135.13 |
| 3075F | <1% | 213 | 198 | $120.00 | |
| 3077F | <1% | 198 | 181 | $80.00 | |
| 80305 | <1% | 1,563 | 1,290 | $42.34 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,156 | 1,101 | $12.62 |
| 2000F | 0% | 1,390 | 1,155 | $0.00 | |
| 90651 | 0% | 15 | 15 | $0.00 |
34 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 119 | $0.00 |
| 87428 | 0% | 181 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 76 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 170 | $0.00 |
| 90656 | 0% | 49 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 576 | $0.00 |
| 2001F | 0% | 1,201 | $0.00 | |
| 90686 | 0% | 84 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 274 | $0.00 |
| 3080F | 0% | 163 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 12 | $0.00 |
| 2010F | 0% | 1,479 | $0.00 | |
| 82044 | 0% | 26 | $0.00 | |
| 99384 | 0% | 24 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 702 | $0.00 |
| 81003 | 0% | 105 | $0.00 | |
| 99442 | 0% | 320 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 168 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 41 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 35 | $0.00 |
| 90461 | 0% | 73 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 73 | $0.00 |
| 96160 | 0% | 40 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 251 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 392 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 195 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 12 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 207 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 61 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 76 | $0.00 |
| 81002 | 0% | 16 | $0.00 | |
| 90715 | 0% | 12 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 14 | $0.00 |
| 90734 | 0% | 18 | $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 officialSIMPSON, NATHANIEL (CHIEF EXECUTIVE OFFICER)
| 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. | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.