Clinic
Primecare Community Health INC.
Primecare Community Health INC. was paid $11.69M by Medicaid between Apr 2019 and Dec 2024, across 68 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoPRIMECARE COMMUNITY HEALTH INC.
CHICAGO, IL 60634
CHICAGO, IL 60634
33aNPI1790247476assigned 04/02/2019
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$11.69M
24GClaims299,134
24DCodes billed68
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#37 of 296
Median peer was paid$1.43M
This provider vs. median8.2×
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.
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 | |
|---|---|---|---|
| 2019 | 19,296 | $967K | |
| 2020 | 39,389 | $2.45M | |
| 2021 | 56,003 | $2.12M | |
| 2022 | 65,326 | $2.09M | |
| 2023 | 63,392 | $2.07M | |
| 2024incomplete | 55,728 | $1.99M |
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 | 97% | 81,220 | 50,925 | $11.33M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 1.7% | 3,033 | 2,149 | $196K |
| D0999 | Unspecified diagnostic procedure, by report | 1.2% | 1,313 | 1,166 | $141K |
| 0012A | <1% | 134 | 100 | $5K | |
| 0011A | <1% | 129 | 101 | $4K | |
| 90686 | <1% | 2,819 | 2,395 | $3K | |
| 90677 | <1% | 266 | 256 | $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% | 44,008 | 30,538 | $1K |
| 0001A | <1% | 21 | 21 | $884.94 | |
| 90715 | <1% | 660 | 563 | $535.24 | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 2,172 | 1,719 | $189.16 |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 8,174 | 7,009 | $64.00 |
56 more codes
| 90832 | Psychotherapy session, about 30 minutes | <1% | 6,447 | $44.11 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,307 | $36.00 |
| 81025 | <1% | 1,383 | $27.32 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 842 | $26.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 802 | $20.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 779 | $19.00 |
| 81002 | <1% | 812 | $18.20 | |
| 90656 | <1% | 63 | $16.71 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 217 | $13.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 617 | $13.00 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,082 | $11.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 344 | $10.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 480 | $8.00 |
| 3725F | <1% | 16,101 | $1.00 | |
| 3078F | <1% | 15,703 | $1.00 | |
| 1160F | <1% | 19,096 | $1.00 | |
| 3077F | <1% | 2,348 | $1.00 | |
| 3008F | <1% | 22,520 | $1.00 | |
| 1036F | <1% | 18,184 | $1.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 229 | $0.00 |
| 3051F | 0% | 43 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 1,345 | $0.00 |
| D1120 | Dental cleaning, child | 0% | 165 | $0.00 |
| 0502F | 0% | 430 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 529 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 41 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 117 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 169 | $0.00 |
| 2028F | 0% | 24 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 174 | $0.00 |
| 90648 | 0% | 13 | $0.00 | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 0% | 12 | $0.00 |
| 99201 | 0% | 31 | $0.00 | |
| 93000 | 0% | 301 | $0.00 | |
| 3075F | 0% | 3,465 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 145 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,352 | $0.00 |
| 3074F | 0% | 16,342 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 143 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 2,048 | $0.00 |
| 96127 | 0% | 8,836 | $0.00 | |
| 3080F | 0% | 793 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 69 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 164 | $0.00 |
| D0120 | Dental checkup, returning patient | 0% | 164 | $0.00 |
| 99383 | 0% | 14 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 13 | $0.00 |
| 3079F | 0% | 5,460 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 374 | $0.00 |
| 3044F | 0% | 86 | $0.00 | |
| 99385 | 0% | 66 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 799 | $0.00 |
| 1126F | 0% | 61 | $0.00 | |
| 87428 | 0% | 12 | $0.00 | |
| D0140 | Limited oral evaluation - problem focused | 0% | 12 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 17 | $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 officialVANGILDER, ROBERT (CFO)
| Provider | Location | Paid |
|---|---|---|
| Primecare Community Health INC | Chicago, IL | $5.31M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.