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: 1720539091 · DES MOINES, IA 50314 · Federally Qualified Health Center (FQHC) · NPI assigned 10/20/2016

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

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

$7.87M
Total Medicaid Paid
124,134
Total Claims
110,885
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMPSON, NATHANIEL (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date10/20/2016

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. 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 8,481 $594K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9999 Unspecified adjunctive procedure, by report 33,119 26,222 $6.17M
D0999 Unspecified diagnostic procedure, by report 6,889 5,773 $1.50M
D0120 Periodic oral evaluation - established patient 8,711 8,501 $32K
D1120 Prophylaxis - child 6,399 6,257 $32K
D1206 Topical application of fluoride varnish 9,496 9,279 $28K
D1999 96 66 $17K
D1110 Prophylaxis - adult 3,410 3,345 $12K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 822 573 $12K
D0330 Panoramic radiographic image 4,239 4,176 $9K
D0150 Comprehensive oral evaluation - new or established patient 4,141 4,062 $9K
D0274 Bitewings - four radiographic images 5,595 5,502 $7K
D0272 Bitewings - two radiographic images 1,913 1,853 $7K
D0210 Intraoral - complete series of radiographic images 1,838 1,777 $6K
D0603 4,301 4,282 $5K
D2391 Resin-based composite - one surface, posterior, primary or permanent 489 367 $5K
D0220 Intraoral - periapical first radiographic image 6,480 6,277 $4K
D0140 Limited oral evaluation - problem focused 4,839 4,716 $4K
D1351 Sealant - per tooth 2,109 576 $4K
D7140 Extraction, erupted tooth or exposed root 2,077 1,285 $3K
D0230 Intraoral - periapical each additional radiographic image 791 455 $2K
D0602 980 966 $2K
D2150 Silver amalgam - two surfaces, primary or permanent 532 355 $1K
D4341 358 200 $400.88
D2140 163 119 $291.03
D0145 Oral evaluation for a patient under three years of age 98 96 $45.46
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 226 161 $1.57
D4910 40 40 $0.34
D1310 6,723 6,562 $0.00
D1330 7,184 6,997 $0.00
D1353 40 12 $0.00
D0601 36 33 $0.00