Clinic
Primary Health Care, INC.
Primary Health Care, INC. was paid $11.58M by Medicaid between Jan 2018 and Dec 2024, across 81 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoPRIMARY HEALTH CARE, INC.
MARSHALLTOWN, IA 50158
MARSHALLTOWN, IA 50158
33aNPI1982753273assigned 01/09/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$11.58M
24GClaims161,598
24DCodes billed81
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Iowa
Rank by total paid#8 of 36
Median peer was paid$1.10M
This provider vs. median11×
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 | 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 | |
| 2024incomplete | 26,521 | $1.65M |
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 | 99% | 60,026 | 45,158 | $11.48M |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | <1% | 908 | 802 | $42K |
| G0467 | Community health center visit, returning patientFederally 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 | <1% | 955 | 765 | $38K |
| 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% | 32,815 | 26,957 | $10K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 7,063 | 6,471 | $2K |
| 0513F | <1% | 44 | 41 | $700.00 | |
| 81025 | <1% | 1,862 | 1,652 | $464.65 | |
| 87428 | <1% | 628 | 604 | $427.89 | |
| 3078F | <1% | 1,322 | 1,142 | $400.00 | |
| 3074F | <1% | 1,471 | 1,257 | $400.00 | |
| 3079F | <1% | 489 | 455 | $340.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,038 | 5,442 | $191.53 |
69 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 986 | $180.14 |
| 3077F | <1% | 208 | $160.00 | |
| 3075F | <1% | 260 | $160.00 | |
| 3044F | <1% | 38 | $100.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 412 | $87.80 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,398 | $79.60 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,309 | $74.31 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,216 | $68.16 |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 31 | $63.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 217 | $45.23 |
| 90715 | <1% | 392 | $44.99 | |
| 0064A | <1% | 13 | $40.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,252 | $36.35 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,509 | $36.34 |
| 90791 | Psychiatric diagnostic evaluation | <1% | 950 | $31.04 |
| 90688 | <1% | 1,053 | $15.05 | |
| 81003 | <1% | 2,794 | $13.14 | |
| 82947 | <1% | 452 | $5.34 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,517 | $4.90 |
| 82044 | <1% | 337 | $2.77 | |
| 81002 | <1% | 1,902 | $0.86 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 906 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 1,470 | $0.00 |
| 90633 | 0% | 218 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 1,229 | $0.00 |
| 80305 | 0% | 1,140 | $0.00 | |
| 90734 | 0% | 234 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 2,596 | $0.00 |
| 90670 | 0% | 420 | $0.00 | |
| 90461 | 0% | 328 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 61 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 256 | $0.00 |
| 99442 | 0% | 69 | $0.00 | |
| 82570 | 0% | 26 | $0.00 | |
| 90710 | 0% | 26 | $0.00 | |
| 90658 | 0% | 59 | $0.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 67 | $0.00 |
| 90621 | 0% | 28 | $0.00 | |
| 91313 | 0% | 14 | $0.00 | |
| 86703 | 0% | 14 | $0.00 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 16 | $0.00 |
| 3046F | 0% | 15 | $0.00 | |
| 87210 | 0% | 21 | $0.00 | |
| 85018 | 0% | 2,323 | $0.00 | |
| 2001F | 0% | 2,129 | $0.00 | |
| 90677 | 0% | 147 | $0.00 | |
| 90686 | 0% | 891 | $0.00 | |
| 90647 | 0% | 261 | $0.00 | |
| 36416 | 0% | 614 | $0.00 | |
| 90656 | 0% | 198 | $0.00 | |
| 90651 | 0% | 249 | $0.00 | |
| 3080F | 0% | 144 | $0.00 | |
| 90723 | 0% | 223 | $0.00 | |
| 0134A | 0% | 14 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 208 | $0.00 |
| 2010F | 0% | 2,172 | $0.00 | |
| 90619 | 0% | 13 | $0.00 | |
| 2000F | 0% | 1,956 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 184 | $0.00 |
| 90680 | 0% | 78 | $0.00 | |
| 90474 | 0% | 257 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 293 | $0.00 |
| 82043 | 0% | 26 | $0.00 | |
| 99381 | 0% | 15 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 34 | $0.00 |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 0% | 23 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 0% | 40 | $0.00 |
| 91301 | 0% | 12 | $0.00 | |
| 90696 | 0% | 14 | $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. | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.