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: 1417005919 · DES MOINES, IA 50314 · Federally Qualified Health Center (FQHC) · NPI assigned 01/08/2007

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

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

$7.23M
Total Medicaid Paid
86,748
Total Claims
75,440
Beneficiaries
68
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMPSON, NATHANIEL (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date01/08/2007

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. 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 11,289 $808K
2019 9,422 $768K
2020 15,146 $1.32M
2021 15,115 $1.35M
2022 13,065 $1.14M
2023 10,207 $964K
2024 12,504 $879K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 36,662 29,194 $7.18M
S0280 Medical home program, comprehensive care coordination and planning, initial plan 652 603 $27K
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 396 335 $15K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,808 8,263 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 11,792 10,811 $1K
90834 Psychotherapy, 45 minutes with patient 1,367 1,021 $278.55
90837 Psychotherapy, 53 minutes with patient 712 518 $221.58
3074F 648 613 $200.00
3079F 336 319 $180.00
3078F 499 474 $180.00
90688 1,088 1,045 $178.01
90832 Psychotherapy, 30 minutes with patient 2,960 2,391 $167.66
3075F 173 165 $140.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,247 3,132 $129.62
90734 288 284 $120.32
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,473 1,415 $115.64
90791 Psychiatric diagnostic evaluation 534 523 $103.04
3077F 142 134 $100.00
99215 Prolong outpt/office vis 30 28 $99.95
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,019 964 $81.37
83036 Hemoglobin; glycosylated (A1C) 1,633 1,584 $40.52
90715 117 114 $40.24
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 880 813 $37.70
90472 Immunization administration, each additional vaccine (list separately) 880 832 $30.54
81025 133 122 $8.97
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,458 2,332 $7.60
81003 860 817 $6.36
36415 Collection of venous blood by venipuncture 401 391 $6.34
82947 308 288 $5.34
82044 127 123 $0.00
90677 27 27 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 156 149 $0.00
87428 579 553 $0.00
3080F 134 125 $0.00
2001F 1,005 937 $0.00
90651 65 62 $0.00
2010F 1,028 952 $0.00
2000F 969 900 $0.00
90686 84 83 $0.00
90619 131 124 $0.00
96156 12 12 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 59 57 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 29 28 $0.00
90792 Psychiatric diagnostic evaluation with medical services 13 13 $0.00
90732 13 13 $0.00
90656 22 22 $0.00
0134A 30 30 $0.00
90480 12 12 $0.00
91305 13 13 $0.00
80305 116 100 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 838 807 $0.00
91312 103 101 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 49 46 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 50 49 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 29 28 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 60 57 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 52 52 $0.00
0124A 62 60 $0.00
91313 27 27 $0.00
90746 96 96 $0.00
96160 18 18 $0.00
99201 25 24 $0.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14 14 $0.00
91320 12 12 $0.00
90658 89 89 $0.00
99408 79 75 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 12 12 $0.00