Clinic
Primary Health Care, INC.
Primary Health Care, INC. was paid $12.05M by Medicaid between Jan 2018 and Dec 2024, across 105 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 69% of everything it billed.
33Billing provider infoPRIMARY HEALTH CARE, INC.
DES MOINES, IA 50320
DES MOINES, IA 50320
33aNPI1588692487assigned 06/29/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$12.05M
24GClaims177,162
24DCodes billed105
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Iowa
Rank by total paid#7 of 36
Median peer was paid$1.10M
This provider vs. median11×
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 | 41,261 | $2.13M | |
| 2019 | 28,728 | $1.83M | |
| 2020 | 20,472 | $1.48M | |
| 2021 | 21,188 | $1.77M | |
| 2022 | 16,223 | $1.37M | |
| 2023 | 19,901 | $1.64M | |
| 2024incomplete | 29,389 | $1.83M |
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 | 69% | 42,176 | 35,229 | $8.37M |
| D9999 | Unspecified adjunctive procedure, by report | 19% | 14,604 | 11,448 | $2.35M |
| D0999 | Unspecified diagnostic procedure, by report | 10% | 5,692 | 5,114 | $1.26M |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 553 | 492 | $21K |
| D1206 | Topical application of fluoride varnish | <1% | 7,281 | 6,798 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 4,964 | 4,631 | $7K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 6,030 | 5,671 | $7K |
| D1999 | <1% | 30 | 27 | $5K | |
| D1110 | Prophylaxis - adult | <1% | 2,253 | 2,133 | $4K |
| 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% | 21,072 | 18,961 | $3K |
| D0274 | Bitewings - four radiographic images | <1% | 2,377 | 2,258 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 128 | 82 | $2K |
93 more codes
| D0330 | Panoramic radiographic image | <1% | 1,696 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,887 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 96 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 1,803 | $2K |
| G0467 | Community health center visit, returning patient | <1% | 119 | $1K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 4,240 | $670.92 |
| D1351 | Sealant - per tooth | <1% | 3,980 | $656.12 |
| D0603 | <1% | 1,441 | $320.00 | |
| 3078F | <1% | 901 | $300.00 | |
| 3074F | <1% | 990 | $300.00 | |
| D0602 | <1% | 1,070 | $275.00 | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 398 | $239.81 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,412 | $205.65 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,545 | $202.57 |
| D4341 | <1% | 174 | $202.19 | |
| 3079F | <1% | 288 | $200.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,088 | $180.14 |
| 90651 | <1% | 970 | $177.70 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,171 | $159.20 |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,085 | $140.08 |
| 3077F | <1% | 129 | $140.00 | |
| 3075F | <1% | 177 | $100.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,890 | $98.40 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,848 | $94.08 |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 513 | $45.39 |
| 3044F | <1% | 24 | $40.00 | |
| 90715 | <1% | 459 | $37.02 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,527 | $36.72 |
| 90688 | <1% | 817 | $15.05 | |
| 82947 | <1% | 2,711 | $12.93 | |
| 80305 | <1% | 72 | $6.79 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 91 | $2.45 |
| D4910 | <1% | 213 | $1.23 | |
| 85018 | <1% | 1,212 | $0.48 | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 690 | $0.44 |
| D0190 | <1% | 46 | $0.19 | |
| 90461 | 0% | 252 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 896 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 204 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 1,996 | $0.00 |
| 90687 | 0% | 75 | $0.00 | |
| 81003 | 0% | 1,521 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 660 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 29 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 164 | $0.00 |
| 90734 | 0% | 612 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 1,003 | $0.00 |
| 90633 | 0% | 204 | $0.00 | |
| 90621 | 0% | 249 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 1,114 | $0.00 |
| 90707 | 0% | 57 | $0.00 | |
| 71046 | Radiologic examination, chest; 2 views | 0% | 57 | $0.00 |
| 90658 | 0% | 68 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 136 | $0.00 |
| 81025 | 0% | 430 | $0.00 | |
| D2140 | 0% | 176 | $0.00 | |
| 90649 | 0% | 13 | $0.00 | |
| 0124A | 0% | 15 | $0.00 | |
| 91320 | 0% | 25 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 102 | $0.00 |
| 99442 | 0% | 30 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 102 | $0.00 |
| 91312 | 0% | 15 | $0.00 | |
| 81002 | 0% | 12 | $0.00 | |
| 90713 | 0% | 14 | $0.00 | |
| 90746 | 0% | 27 | $0.00 | |
| D1310 | 0% | 1,541 | $0.00 | |
| 82044 | 0% | 504 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 257 | $0.00 |
| D1330 | 0% | 1,552 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 77 | $0.00 |
| 99384 | 0% | 28 | $0.00 | |
| 36416 | 0% | 517 | $0.00 | |
| 90686 | 0% | 1,258 | $0.00 | |
| 87428 | 0% | 595 | $0.00 | |
| 90716 | 0% | 289 | $0.00 | |
| 2010F | 0% | 1,491 | $0.00 | |
| 90677 | 0% | 58 | $0.00 | |
| 91315 | 0% | 13 | $0.00 | |
| 90696 | 0% | 13 | $0.00 | |
| 2000F | 0% | 1,300 | $0.00 | |
| 2001F | 0% | 1,466 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 271 | $0.00 |
| 99385 | 0% | 34 | $0.00 | |
| 90656 | 0% | 236 | $0.00 | |
| 90480 | 0% | 67 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 67 | $0.00 |
| 90619 | 0% | 114 | $0.00 | |
| 90474 | 0% | 13 | $0.00 | |
| 99383 | 0% | 36 | $0.00 | |
| 3080F | 0% | 105 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 56 | $0.00 |
| 0154A | 0% | 13 | $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. | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.