Clinic
Primary Health Services Center
Primary Health Services Center was paid $2.90M by Medicaid between Jan 2018 and Nov 2024, across 43 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoPRIMARY HEALTH SERVICES CENTER
GRAMBLING, LA 71245
GRAMBLING, LA 71245
33aNPI1659827996assigned 08/28/2016
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$2.90M
24GClaims74,170
24DCodes billed43
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Louisiana
Rank by total paid#59 of 272
Median peer was paid$574K
This provider vs. median5.0×
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 | 8,008 | $357K | |
| 2019 | 11,003 | $513K | |
| 2020 | 11,634 | $594K | |
| 2021 | 14,999 | $482K | |
| 2022 | 14,101 | $385K | |
| 2023 | 9,350 | $324K | |
| 2024incomplete | 5,075 | $243K |
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 | 94% | 24,276 | 15,057 | $2.71M |
| H2020 | Therapeutic behavioral services, per diem | 5.6% | 1,733 | 588 | $162K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 116 | 64 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 171 | 126 | $6K |
| D0330 | Panoramic radiographic image | <1% | 119 | 100 | $6K |
| D0140 | Limited oral evaluation - problem focused | <1% | 97 | 55 | $2K |
| D1110 | Prophylaxis - adult | <1% | 61 | 42 | $2K |
| D0272 | Bitewings - two radiographic images | <1% | 123 | 97 | $662.60 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 94 | 52 | $637.91 |
| 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% | 16,517 | 11,493 | $421.97 |
| 3074F | <1% | 2,717 | 2,067 | $245.00 | |
| 3078F | <1% | 2,019 | 1,591 | $180.00 |
31 more codes
| 3079F | <1% | 1,625 | $165.00 | |
| 98960 | <1% | 97 | $108.00 | |
| 3075F | <1% | 593 | $95.00 | |
| 3077F | <1% | 533 | $40.00 | |
| 3080F | <1% | 317 | $20.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 834 | $1.12 |
| 3008F | 0% | 7,787 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 616 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 270 | $0.00 |
| D0999 | Unspecified diagnostic procedure, by report | 0% | 2,030 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 654 | $0.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 387 | $0.00 |
| J1094 | Injection, dexamethasone acetate, 1 mg | 0% | 123 | $0.00 |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 0% | 18 | $0.00 |
| 85018 | 0% | 39 | $0.00 | |
| 92551 | 0% | 54 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 105 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 15 | $0.00 |
| 82962 | 0% | 37 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 14 | $0.00 |
| 81025 | 0% | 1,311 | $0.00 | |
| 81002 | 0% | 511 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 575 | $0.00 |
| 82948 | 0% | 294 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 4,250 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 2,737 | $0.00 |
| J7637 | Dexamethasone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram | 0% | 30 | $0.00 |
| 99173 | 0% | 177 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 64 | $0.00 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 15 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 15 | $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 officialTONORE, CATHERINE (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Primary Health Services Center | Monroe, LA | $12.08M |
| Primary Health Services Center | Monroe, LA | $11.63M |
| Primary Health Services Center | Monroe, LA | $5.51M |
| Primary Health Services Center | Monroe, LA | $2.92M |
| Primary Health Services Center | West Monroe, LA | $2.58M |
| Primary Health Services Center | Monroe, LA | $991K |
| Primary Health Services Center | Monroe, LA | $188K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.