Physician
Primecare Community Health, INC.
Primecare Community Health, INC. was paid $10.05M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoPRIMECARE COMMUNITY HEALTH, INC.
CHICAGO, IL 60639
CHICAGO, IL 60639
33aNPI1730235870assigned 01/25/2007
33bProvider typeFamily Medicine Physician
28Total paid$10.05M
24GClaims254,180
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Illinois
Rank by total paid#7 of 2,947
Median peer was paid$43K
This provider vs. median236×
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 | 15,948 | $738K | |
| 2019 | 25,300 | $1.06M | |
| 2020 | 29,782 | $1.87M | |
| 2021 | 43,515 | $1.49M | |
| 2022 | 55,423 | $1.71M | |
| 2023 | 55,280 | $1.61M | |
| 2024incomplete | 28,932 | $1.58M |
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 | 99% | 71,724 | 50,478 | $9.96M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 1,123 | 1,020 | $74K |
| 0011A | <1% | 144 | 115 | $6K | |
| 0012A | <1% | 122 | 102 | $5K | |
| 90686 | <1% | 3,603 | 2,975 | $3K | |
| 0001A | <1% | 30 | 30 | $1K | |
| 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% | 32,129 | 23,944 | $904.17 |
| 0002A | <1% | 12 | 12 | $505.68 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 538 | 398 | $405.90 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 46 | 20 | $356.13 |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 3,497 | 2,533 | $284.88 |
| 90677 | <1% | 320 | 302 | $283.72 |
54 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 577 | $250.25 |
| 90715 | <1% | 620 | $218.62 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,180 | $212.00 |
| 81025 | <1% | 2,200 | $187.81 | |
| 0503F | <1% | 84 | $150.00 | |
| 0502F | <1% | 3,938 | $130.20 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,566 | $95.61 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 37 | $84.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,545 | $79.09 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 2,717 | $63.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,427 | $59.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,685 | $45.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 7,024 | $45.00 |
| 90656 | <1% | 154 | $41.28 | |
| 99173 | <1% | 485 | $21.00 | |
| 2028F | <1% | 300 | $11.00 | |
| 1160F | <1% | 17,663 | $2.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 513 | $1.00 |
| 3075F | <1% | 2,282 | $1.00 | |
| 1036F | <1% | 15,040 | $1.00 | |
| 3008F | <1% | 18,394 | $1.00 | |
| 3079F | <1% | 3,854 | $1.00 | |
| 3725F | 0% | 12,955 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 1,929 | $0.00 |
| 3078F | 0% | 12,554 | $0.00 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | 0% | 13 | $0.00 |
| 3077F | 0% | 1,165 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 630 | $0.00 |
| 90648 | 0% | 38 | $0.00 | |
| 81002 | 0% | 423 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 187 | $0.00 |
| 3046F | 0% | 13 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 150 | $0.00 |
| 90633 | 0% | 14 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 29 | $0.00 |
| 90734 | 0% | 18 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 50 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 2,375 | $0.00 |
| 3074F | 0% | 13,450 | $0.00 | |
| 3080F | 0% | 382 | $0.00 | |
| 96127 | 0% | 2,530 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 19 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 100 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 208 | $0.00 |
| 0500F | 0% | 15 | $0.00 | |
| 99384 | 0% | 73 | $0.00 | |
| 99381 | 0% | 12 | $0.00 | |
| 3044F | 0% | 55 | $0.00 | |
| 99383 | 0% | 105 | $0.00 | |
| 90723 | 0% | 18 | $0.00 | |
| 59430 | 0% | 13 | $0.00 | |
| 99385 | 0% | 12 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 58 | $0.00 |
| 90680 | 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 officialMOLDOVAN, JOSEPH (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Primecare Community Health, INC. | Chicago, IL | $11.33M |
| Primecare Community Health INC | Chicago, IL | $8.46M |
| Primecare Community Health, INC. | Chicago, IL | $4.34M |
| Primecare Community Health INC. | Chicago, IL | $1.19M |
| Primecare Community Health, INC. | Chicago, IL | $1.15M |
| Primecare Community Health INC | Chicago, IL | $907K |
| Chicago Family Health Center INC | Chicago, IL | $27K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.