Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › AMES › PRIMARY HEALTH CARE, INC.

PRIMARY HEALTH CARE, INC.

NPI: 1932539608 · AMES, IA 50014 · Federally Qualified Health Center (FQHC) · NPI assigned 11/18/2013

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

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

$8.05M
Total Medicaid Paid
98,519
Total Claims
80,386
Beneficiaries
69
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMPSON, NATHANIEL (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date11/18/2013

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. 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 27,610 $1.81M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 32,414 23,510 $6.30M
D0999 Unspecified diagnostic procedure, by report 4,232 3,670 $1.04M
D9999 Unspecified adjunctive procedure, by report 4,923 3,838 $651K
S0280 Medical home program, comprehensive care coordination and planning, initial plan 696 618 $29K
D1120 Prophylaxis - child 1,416 1,306 $3K
D1351 Sealant - per tooth 568 159 $3K
D1206 Topical application of fluoride varnish 1,912 1,784 $3K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 335 224 $2K
D2391 Resin-based composite - one surface, posterior, primary or permanent 342 237 $2K
D1110 Prophylaxis - adult 387 385 $2K
D0120 Periodic oral evaluation - established patient 1,001 980 $2K
D0150 Comprehensive oral evaluation - new or established patient 1,383 1,291 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,305 12,446 $1K
D0274 Bitewings - four radiographic images 743 720 $989.18
D0272 Bitewings - two radiographic images 380 352 $730.64
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,147 5,523 $686.59
D0330 Panoramic radiographic image 763 704 $676.33
D0603 1,060 1,054 $570.00
D0140 Limited oral evaluation - problem focused 768 687 $497.65
D7140 Extraction, erupted tooth or exposed root 430 280 $473.15
D0210 Intraoral - complete series of radiographic images 200 191 $315.87
D0220 Intraoral - periapical first radiographic image 1,349 1,245 $305.51
3078F 828 703 $280.00
3074F 900 753 $280.00
3079F 204 193 $140.00
81025 511 471 $134.55
3077F 122 111 $120.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 696 663 $105.75
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,390 2,202 $100.99
90688 363 354 $82.96
3075F 110 104 $80.00
D0230 Intraoral - periapical each additional radiographic image 628 207 $41.80
99442 14 13 $35.70
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,330 1,290 $20.36
80305 1,600 1,221 $14.35
83036 Hemoglobin; glycosylated (A1C) 1,727 1,667 $9.32
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 113 100 $7.54
81003 1,227 1,134 $3.18
D4910 24 24 $0.15
D0145 Oral evaluation for a patient under three years of age 12 12 $0.07
96160 84 77 $0.00
90832 Psychotherapy, 30 minutes with patient 1,187 1,001 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 305 293 $0.00
90791 Psychiatric diagnostic evaluation 326 314 $0.00
90472 Immunization administration, each additional vaccine (list separately) 279 258 $0.00
82947 732 661 $0.00
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 62 58 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 385 370 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 157 151 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14 14 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 28 27 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 31 30 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 13 13 $0.00
82044 230 224 $0.00
3080F 97 91 $0.00
90686 72 67 $0.00
36416 15 14 $0.00
2010F 1,245 1,038 $0.00
D1310 487 476 $0.00
90792 Psychiatric diagnostic evaluation with medical services 14 13 $0.00
D1330 477 466 $0.00
2000F 1,150 959 $0.00
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 33 24 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 73 72 $0.00
2001F 1,236 1,032 $0.00
36415 Collection of venous blood by venipuncture 113 106 $0.00
90656 12 12 $0.00
87428 81 75 $0.00
90834 Psychotherapy, 45 minutes with patient 28 24 $0.00