Primary Health Care, INC.

Primary Health Care, INC. was paid $12K by Medicaid between Sep 2019 and May 2024, across 3 billing codes. Its largest line is A4253, Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips — 83% of everything it billed.

33Billing provider infoPRIMARY HEALTH CARE, INC.
DES MOINES, IA 50314

33aNPI1972644847assigned 02/12/2007

33bProvider typeCommunity/Retail Pharmacy

28Total paid$12K

24GClaims539

24DCodes billed3

24AFirst – last monthSep 2019 – May 2024

Compared with peers

Next to other Community/Retail Pharmacy providers in Iowa

Rank by total paid#32 of 73

Median peer was paid$9K

This provider vs. median1.4×

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
2019	13	$393.65
2020	216	$5K
2021	191	$4K
2022	40	$883.88
2023	60	$1K
2024incomplete	19	$442.77

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	83%	418	403	$10K
A4215	Needle, sterile, any size, each	16%	96	90	$2K
A4259	Lancets, per box of 100	<1%	25	25	$76.72

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)

Parent organizationPRIMARY HEALTH CARE, INC.

Same official

Other billing entities under SIMPSON, NATHANIEL

Full network →

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.	Ames, IA	$8.05M
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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.