Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › URBANDALE › PRIMARY HEALTH CARE, INC.

PRIMARY HEALTH CARE, INC.

NPI: 1396270831 · URBANDALE, IA 50322 · Federally Qualified Health Center (FQHC) · NPI assigned 04/21/2017

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

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

$3.85M
Total Medicaid Paid
41,058
Total Claims
33,631
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMPSON, NATHANIEL (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date04/21/2017

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 $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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 722 $66K
2019 970 $88K
2020 1,645 $185K
2021 4,601 $486K
2022 5,708 $593K
2023 11,287 $1.24M
2024 16,125 $1.20M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 16,985 12,708 $3.85M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,605 7,393 $698.69
3074F 976 841 $260.00
3079F 413 370 $180.00
3078F 817 715 $180.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,482 1,282 $135.13
3075F 213 198 $120.00
3077F 198 181 $80.00
80305 1,563 1,290 $42.34
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,156 1,101 $12.62
2000F 1,390 1,155 $0.00
90651 15 15 $0.00
83036 Hemoglobin; glycosylated (A1C) 119 117 $0.00
87428 181 175 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 76 74 $0.00
36415 Collection of venous blood by venipuncture 170 160 $0.00
90656 49 45 $0.00
90834 Psychotherapy, 45 minutes with patient 576 460 $0.00
2001F 1,201 1,071 $0.00
90686 84 79 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 274 265 $0.00
3080F 163 151 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $0.00
2010F 1,479 1,232 $0.00
82044 26 26 $0.00
99384 24 24 $0.00
90832 Psychotherapy, 30 minutes with patient 702 572 $0.00
81003 105 96 $0.00
99442 320 251 $0.00
90837 Psychotherapy, 53 minutes with patient 168 119 $0.00
90791 Psychiatric diagnostic evaluation 41 40 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 35 35 $0.00
90461 73 69 $0.00
90472 Immunization administration, each additional vaccine (list separately) 73 67 $0.00
96160 40 39 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 251 247 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 392 374 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 195 184 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12 12 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 207 199 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 61 58 $0.00
99215 Prolong outpt/office vis 76 75 $0.00
81002 16 12 $0.00
90715 12 12 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 14 12 $0.00
90734 18 18 $0.00