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: 1588692487 · DES MOINES, IA 50320 · Federally Qualified Health Center (FQHC) · NPI assigned 06/29/2006

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

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

$12.05M
Total Medicaid Paid
177,162
Total Claims
155,385
Beneficiaries
105
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMPSON, NATHANIEL (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date06/29/2006

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. 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 29,389 $1.83M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 42,176 35,229 $8.37M
D9999 Unspecified adjunctive procedure, by report 14,604 11,448 $2.35M
D0999 Unspecified diagnostic procedure, by report 5,692 5,114 $1.26M
S0280 Medical home program, comprehensive care coordination and planning, initial plan 553 492 $21K
D1206 Topical application of fluoride varnish 7,281 6,798 $8K
D1120 Prophylaxis - child 4,964 4,631 $7K
D0120 Periodic oral evaluation - established patient 6,030 5,671 $7K
D1999 30 27 $5K
D1110 Prophylaxis - adult 2,253 2,133 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21,072 18,961 $3K
D0274 Bitewings - four radiographic images 2,377 2,258 $2K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 128 82 $2K
D0330 Panoramic radiographic image 1,696 1,581 $2K
D0150 Comprehensive oral evaluation - new or established patient 1,887 1,750 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 96 66 $2K
D0272 Bitewings - two radiographic images 1,803 1,650 $2K
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 119 100 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,240 3,972 $670.92
D1351 Sealant - per tooth 3,980 988 $656.12
D0603 1,441 1,230 $320.00
3078F 901 847 $300.00
3074F 990 924 $300.00
D0602 1,070 825 $275.00
D7140 Extraction, erupted tooth or exposed root 398 207 $239.81
D0220 Intraoral - periapical first radiographic image 1,412 1,309 $205.65
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,545 5,393 $202.57
D4341 174 109 $202.19
3079F 288 272 $200.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,088 2,029 $180.14
90651 970 947 $177.70
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,171 2,126 $159.20
D0140 Limited oral evaluation - problem focused 1,085 983 $140.08
3077F 129 118 $140.00
3075F 177 169 $100.00
90472 Immunization administration, each additional vaccine (list separately) 2,890 2,664 $98.40
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,848 2,715 $94.08
D0145 Oral evaluation for a patient under three years of age 513 439 $45.39
3044F 24 24 $40.00
90715 459 448 $37.02
83036 Hemoglobin; glycosylated (A1C) 2,527 2,470 $36.72
90688 817 797 $15.05
82947 2,711 2,540 $12.93
80305 72 59 $6.79
D0210 Intraoral - complete series of radiographic images 91 88 $2.45
D4910 213 194 $1.23
85018 1,212 1,161 $0.48
D2150 Silver amalgam - two surfaces, primary or permanent 690 414 $0.44
D0190 46 46 $0.19
90461 252 239 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 896 877 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 204 196 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,996 1,899 $0.00
90687 75 75 $0.00
81003 1,521 1,428 $0.00
90791 Psychiatric diagnostic evaluation 660 613 $0.00
99215 Prolong outpt/office vis 29 28 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 164 159 $0.00
90734 612 599 $0.00
90832 Psychotherapy, 30 minutes with patient 1,003 785 $0.00
90633 204 201 $0.00
90621 249 238 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 1,114 1,067 $0.00
90707 57 56 $0.00
71046 Radiologic examination, chest; 2 views 57 52 $0.00
90658 68 67 $0.00
90837 Psychotherapy, 53 minutes with patient 136 93 $0.00
81025 430 410 $0.00
D2140 176 101 $0.00
90649 13 13 $0.00
0124A 15 15 $0.00
91320 25 25 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 102 102 $0.00
99442 30 24 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 102 100 $0.00
91312 15 15 $0.00
81002 12 12 $0.00
90713 14 14 $0.00
90746 27 27 $0.00
D1310 1,541 1,498 $0.00
82044 504 499 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 257 252 $0.00
D1330 1,552 1,506 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 77 77 $0.00
99384 28 27 $0.00
36416 517 507 $0.00
90686 1,258 1,227 $0.00
87428 595 567 $0.00
90716 289 281 $0.00
2010F 1,491 1,369 $0.00
90677 58 56 $0.00
91315 13 13 $0.00
90696 13 13 $0.00
2000F 1,300 1,201 $0.00
2001F 1,466 1,351 $0.00
90834 Psychotherapy, 45 minutes with patient 271 198 $0.00
99385 34 34 $0.00
90656 236 228 $0.00
90480 67 66 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 67 64 $0.00
90619 114 110 $0.00
90474 13 13 $0.00
99383 36 36 $0.00
3080F 105 99 $0.00
36415 Collection of venous blood by venipuncture 56 53 $0.00
0154A 13 12 $0.00