Medicaid Provider Spending

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

PRIMARY HEALTH CARE, INC.

NPI: 1982753273 · MARSHALLTOWN, IA 50158 · Federally Qualified Health Center (FQHC) · NPI assigned 01/09/2007

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

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

$11.58M
Total Medicaid Paid
161,598
Total Claims
134,648
Beneficiaries
81
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMPSON, NATHANIEL (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date01/09/2007

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. 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
PRIMARY HEALTH CARE, INC. DES MOINES IA $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,862 $1.63M
2019 22,634 $1.46M
2020 20,521 $1.56M
2021 25,324 $2.04M
2022 20,224 $1.62M
2023 19,512 $1.62M
2024 26,521 $1.65M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 60,026 45,158 $11.48M
S0280 Medical home program, comprehensive care coordination and planning, initial plan 908 802 $42K
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 955 765 $38K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32,815 26,957 $10K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,063 6,471 $2K
0513F 44 41 $700.00
81025 1,862 1,652 $464.65
87428 628 604 $427.89
3078F 1,322 1,142 $400.00
3074F 1,471 1,257 $400.00
3079F 489 455 $340.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,038 5,442 $191.53
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 986 960 $180.14
3077F 208 172 $160.00
3075F 260 247 $160.00
3044F 38 38 $100.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 412 387 $87.80
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,398 1,365 $79.60
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5,309 5,122 $74.31
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,216 3,025 $68.16
J1050 Injection, medroxyprogesterone acetate, 1 mg 31 28 $63.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 217 201 $45.23
90715 392 378 $44.99
0064A 13 12 $40.00
83036 Hemoglobin; glycosylated (A1C) 3,252 3,172 $36.35
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,509 1,330 $36.34
90791 Psychiatric diagnostic evaluation 950 896 $31.04
90688 1,053 1,015 $15.05
81003 2,794 2,553 $13.14
82947 452 388 $5.34
90832 Psychotherapy, 30 minutes with patient 1,517 1,199 $4.90
82044 337 324 $2.77
81002 1,902 1,392 $0.86
90460 Immunization administration through 18 years of age via any route, first or only component 906 872 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,470 1,444 $0.00
90633 218 217 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,229 1,127 $0.00
80305 1,140 881 $0.00
90734 234 231 $0.00
90472 Immunization administration, each additional vaccine (list separately) 2,596 2,373 $0.00
90670 420 410 $0.00
90461 328 314 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 61 61 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 256 246 $0.00
99442 69 66 $0.00
82570 26 26 $0.00
90710 26 25 $0.00
90658 59 58 $0.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 67 65 $0.00
90621 28 28 $0.00
91313 14 14 $0.00
86703 14 14 $0.00
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) 16 15 $0.00
3046F 15 15 $0.00
87210 21 13 $0.00
85018 2,323 2,198 $0.00
2001F 2,129 1,791 $0.00
90677 147 140 $0.00
90686 891 864 $0.00
90647 261 254 $0.00
36416 614 595 $0.00
90656 198 196 $0.00
90651 249 241 $0.00
3080F 144 120 $0.00
90723 223 215 $0.00
0134A 14 14 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 208 195 $0.00
2010F 2,172 1,809 $0.00
90619 13 13 $0.00
2000F 1,956 1,628 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 184 162 $0.00
90680 78 74 $0.00
90474 257 248 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 293 272 $0.00
82043 26 26 $0.00
99381 15 13 $0.00
90834 Psychotherapy, 45 minutes with patient 34 27 $0.00
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 23 23 $0.00
90792 Psychiatric diagnostic evaluation with medical services 40 40 $0.00
91301 12 12 $0.00
90696 14 13 $0.00