Clinic
Primary Health Care, INC.
Primary Health Care, INC. was paid $8.05M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
33Billing provider infoPRIMARY HEALTH CARE, INC.
AMES, IA 50014
AMES, IA 50014
33aNPI1932539608assigned 11/18/2013
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$8.05M
24GClaims98,519
24DCodes billed69
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Iowa
Rank by total paid#10 of 36
Median peer was paid$1.10M
This provider vs. median7.3×
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 | 10,194 | $722K | |
| 2019 | 9,798 | $751K | |
| 2020 | 11,403 | $991K | |
| 2021 | 13,829 | $1.24M | |
| 2022 | 11,111 | $1.12M | |
| 2023 | 14,574 | $1.41M | |
| 2024incomplete | 27,610 | $1.81M |
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 | 78% | 32,414 | 23,510 | $6.30M |
| D0999 | Unspecified diagnostic procedure, by report | 13% | 4,232 | 3,670 | $1.04M |
| D9999 | Unspecified adjunctive procedure, by report | 8.1% | 4,923 | 3,838 | $651K |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 696 | 618 | $29K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 1,416 | 1,306 | $3K |
| D1351 | Sealant - per tooth | <1% | 568 | 159 | $3K |
| D1206 | Topical application of fluoride varnish | <1% | 1,912 | 1,784 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 335 | 224 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 342 | 237 | $2K |
| D1110 | Prophylaxis - adult | <1% | 387 | 385 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 1,001 | 980 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 1,383 | 1,291 | $2K |
57 more codes
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 15,305 | $1K |
| D0274 | Bitewings - four radiographic images | <1% | 743 | $989.18 |
| D0272 | Bitewings - two radiographic images | <1% | 380 | $730.64 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 6,147 | $686.59 |
| D0330 | Panoramic radiographic image | <1% | 763 | $676.33 |
| D0603 | <1% | 1,060 | $570.00 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 768 | $497.65 |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 430 | $473.15 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 200 | $315.87 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,349 | $305.51 |
| 3078F | <1% | 828 | $280.00 | |
| 3074F | <1% | 900 | $280.00 | |
| 3079F | <1% | 204 | $140.00 | |
| 81025 | <1% | 511 | $134.55 | |
| 3077F | <1% | 122 | $120.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 696 | $105.75 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,390 | $100.99 |
| 90688 | <1% | 363 | $82.96 | |
| 3075F | <1% | 110 | $80.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 628 | $41.80 |
| 99442 | <1% | 14 | $35.70 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,330 | $20.36 |
| 80305 | <1% | 1,600 | $14.35 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,727 | $9.32 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 113 | $7.54 |
| 81003 | <1% | 1,227 | $3.18 | |
| D4910 | <1% | 24 | $0.15 | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 12 | $0.07 |
| 96160 | 0% | 84 | $0.00 | |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 1,187 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 305 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 326 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 279 | $0.00 |
| 82947 | 0% | 732 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 62 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 385 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 157 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 14 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 28 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 31 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 13 | $0.00 |
| 82044 | 0% | 230 | $0.00 | |
| 3080F | 0% | 97 | $0.00 | |
| 90686 | 0% | 72 | $0.00 | |
| 36416 | 0% | 15 | $0.00 | |
| 2010F | 0% | 1,245 | $0.00 | |
| D1310 | 0% | 487 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 14 | $0.00 |
| D1330 | 0% | 477 | $0.00 | |
| 2000F | 0% | 1,150 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 33 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 73 | $0.00 |
| 2001F | 0% | 1,236 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 113 | $0.00 |
| 90656 | 0% | 12 | $0.00 | |
| 87428 | 0% | 81 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 28 | $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. | Des Moines, IA | $7.87M |
| 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.