Clinic
Primecare Community Health INC
Primecare Community Health INC was paid $5.31M by Medicaid between Dec 2020 and Dec 2024, across 50 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 100% of everything it billed.
33Billing provider infoPRIMECARE COMMUNITY HEALTH INC
CHICAGO, IL 60622
CHICAGO, IL 60622
33aNPI1871117937assigned 06/04/2020
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$5.31M
24GClaims146,784
24DCodes billed50
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Illinois
Rank by total paid#87 of 296
Median peer was paid$1.43M
This provider vs. median3.7×
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 | |
|---|---|---|---|
| 2020 | 468 | $34K | |
| 2021 | 22,615 | $907K | |
| 2022 | 40,958 | $1.38M | |
| 2023 | 48,117 | $1.50M | |
| 2024incomplete | 34,626 | $1.49M |
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 | 100% | 30,649 | 25,861 | $5.29M |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | <1% | 262 | 232 | $18K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 350 | 343 | $211.98 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,135 | 1,106 | $31.40 |
| 90686 | <1% | 14 | 13 | $25.43 | |
| 1036F | <1% | 8,680 | 7,965 | $4.00 | |
| 1160F | <1% | 16,543 | 14,639 | $4.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,649 | 1,510 | $3.00 |
| 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% | 12,143 | 10,931 | $2.00 |
| 96127 | 0% | 1,450 | 1,389 | $0.00 | |
| 99383 | 0% | 665 | 618 | $0.00 | |
| 3008F | 0% | 19,928 | 17,799 | $0.00 |
38 more codes
| 90620 | 0% | 13 | $0.00 | |
| 3074F | 0% | 12,934 | $0.00 | |
| 99384 | 0% | 579 | $0.00 | |
| 3075F | 0% | 176 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 6,584 | $0.00 |
| 99381 | 0% | 326 | $0.00 | |
| 90381 | 0% | 37 | $0.00 | |
| 93000 | 0% | 68 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 192 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 27 | $0.00 |
| 90680 | 0% | 89 | $0.00 | |
| 3079F | 0% | 618 | $0.00 | |
| 90677 | 0% | 129 | $0.00 | |
| 87428 | 0% | 175 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 206 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 106 | $0.00 |
| 90656 | 0% | 313 | $0.00 | |
| 90697 | 0% | 34 | $0.00 | |
| 90716 | 0% | 20 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 12 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 3,201 | $0.00 |
| 81002 | 0% | 179 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 3,788 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 2,408 | $0.00 |
| 3078F | 0% | 12,620 | $0.00 | |
| 3725F | 0% | 4,664 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 2,857 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 294 | $0.00 |
| 90380 | 0% | 39 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 132 | $0.00 |
| 90633 | 0% | 73 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 111 | $0.00 |
| 99382 | 0% | 208 | $0.00 | |
| 99188 | 0% | 36 | $0.00 | |
| 90700 | 0% | 17 | $0.00 | |
| 90648 | 0% | 13 | $0.00 | |
| 90649 | 0% | 19 | $0.00 | |
| 90707 | 0% | 19 | $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 | $11.69M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.