Primecare Community Health, INC.

Primecare Community Health, INC. was paid $976K by Medicaid between Jan 2018 and Dec 2019, across 26 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 infoPRIMECARE COMMUNITY HEALTH, INC.
CHICAGO, IL 60634

33aNPI1437440229assigned 04/27/2011

33bProvider typeFamily Medicine Physician

28Total paid$976K

24GClaims19,182

24DCodes billed26

24AFirst – last monthJan 2018 – Dec 2019

Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#100 of 2,947

Median peer was paid$43K

This provider vs. median23×

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	12,293	$592K
2019	6,889	$384K

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%	8,753	6,653	$971K
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%	4,516	3,752	$2K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	258	221	$647.40
90686		<1%	599	459	$579.85
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	100	83	$470.40
36415	Collection of venous blood by venipuncture	<1%	436	296	$287.00
90715		<1%	163	129	$194.54
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	57	42	$176.58
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,238	1,024	$128.25
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	<1%	219	146	$91.58
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%	413	377	$85.00
81025		<1%	130	102	$54.18

14 more codes

81002		<1%	172	$26.00
90670		<1%	47	$25.60
99384		0%	16	$0.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	945	$0.00
96110	Developmental screening, with scoring and documentation, per standardized instrument	0%	111	$0.00
99383		0%	15	$0.00
93000		0%	41	$0.00
90472	Immunization administration, each additional vaccine (list separately)	0%	252	$0.00
90832	Psychotherapy session, about 30 minutes	0%	482	$0.00
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	0%	44	$0.00
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	0%	82	$0.00
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	0%	40	$0.00
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	0%	26	$0.00
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	0%	27	$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 officialMCGINNIS, ROBIN (CEO)