Primary Health Care, INC.

Primary Health Care, INC. was paid $180K by Medicaid between Jan 2018 and Nov 2024, across 17 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 infoPRIMARY HEALTH CARE, INC.
DES MOINES, IA 50310

33aNPI1598204182assigned 02/16/2017

33bProvider typeFederally Qualified Health Center (FQHC)

28Total paid$180K

24GClaims1,811

24DCodes billed17

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in Iowa

Rank by total paid#24 of 36

Median peer was paid$1.10M

This provider vs. median0.2×

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	262	$22K
2019	166	$20K
2021	117	$12K
2022	237	$38K
2023	318	$42K
2024incomplete	711	$46K

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%	906	835	$180K
90460	Immunization administration through 18 years of age via any route, first or only component	0%	149	136	$0.00
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	0%	13	13	$0.00
90734		0%	12	12	$0.00
3078F		0%	52	51	$0.00
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	0%	26	26	$0.00
90472	Immunization administration, each additional vaccine (list separately)	0%	35	27	$0.00
90461		0%	28	27	$0.00
99384		0%	56	56	$0.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	206	196	$0.00
3074F		0%	60	59	$0.00
2000F		0%	75	73	$0.00

5 more codes

2010F	0%	77	$0.00
90619	0%	13	$0.00
2001F	0%	75	$0.00
90716	0%	14	$0.00
90651	0%	14	$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)

Same official

Other billing entities under SIMPSON, NATHANIEL

Full network →

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.	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.	Urbandale, IA	$3.85M
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.