Clinic
Primary Health Care, INC.
Primary Health Care, INC. was paid $7.87M by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 78% of everything it billed.
33Billing provider infoPRIMARY HEALTH CARE, INC.
DES MOINES, IA 50314
DES MOINES, IA 50314
33aNPI1720539091assigned 10/20/2016
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.87M
24GClaims124,134
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Iowa
Rank by total paid#11 of 36
Median peer was paid$1.10M
This provider vs. median7.2×
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 | 12,377 | $701K | |
| 2019 | 11,123 | $716K | |
| 2020 | 14,613 | $1.08M | |
| 2021 | 23,619 | $1.47M | |
| 2022 | 29,466 | $1.80M | |
| 2023 | 24,455 | $1.51M | |
| 2024incomplete | 8,481 | $594K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9999 | Unspecified adjunctive procedure, by report | 78% | 33,119 | 26,222 | $6.17M |
| D0999 | Unspecified diagnostic procedure, by report | 19% | 6,889 | 5,773 | $1.50M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 8,711 | 8,501 | $32K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 6,399 | 6,257 | $32K |
| D1206 | Topical application of fluoride varnish | <1% | 9,496 | 9,279 | $28K |
| D1999 | <1% | 96 | 66 | $17K | |
| D1110 | Prophylaxis - adult | <1% | 3,410 | 3,345 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 822 | 573 | $12K |
| D0330 | Panoramic radiographic image | <1% | 4,239 | 4,176 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 4,141 | 4,062 | $9K |
| D0274 | Bitewings - four radiographic images | <1% | 5,595 | 5,502 | $7K |
| D0272 | Bitewings - two radiographic images | <1% | 1,913 | 1,853 | $7K |
19 more codes
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,838 | $6K |
| D0603 | <1% | 4,301 | $5K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 489 | $5K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 6,480 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 4,839 | $4K |
| D1351 | Sealant - per tooth | <1% | 2,109 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 2,077 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 791 | $2K |
| D0602 | <1% | 980 | $2K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 532 | $1K |
| D4341 | <1% | 358 | $400.88 | |
| D2140 | <1% | 163 | $291.03 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 98 | $45.46 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 226 | $1.57 |
| D4910 | <1% | 40 | $0.34 | |
| D1310 | 0% | 6,723 | $0.00 | |
| D1330 | 0% | 7,184 | $0.00 | |
| D1353 | 0% | 40 | $0.00 | |
| D0601 | 0% | 36 | $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. | 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 | $7.23M |
| 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.