Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IL › Chicago › NPI 1992851067
Physician

Primecare Community Health, INC.

Primecare Community Health, INC. was paid $4.34M by Medicaid between Jan 2018 and Dec 2024, across 41 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 infoPRIMECARE COMMUNITY HEALTH, INC.
CHICAGO, IL 60647
33aNPI1992851067assigned 01/25/2007
28Total paid$4.34M
24GClaims99,802
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Family Medicine Physician providers in Illinois

Rank by total paid#16 of 2,947
Median peer was paid$43K
This provider vs. median102×

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.

Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20185,774$310K
20197,725$338K
202012,398$837K
202117,411$697K
202220,493$736K
202319,789$694K
2024incomplete16,212$724K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 99% 30,563 21,231 $4.30M
T1040 Medicaid certified community behavioral health clinic services, per diem <1% 444 360 $30K
90686 <1% 1,493 1,262 $2K
0011A <1% 50 37 $2K
0012A <1% 37 27 $2K
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% 16,093 11,707 $1K
0001A <1% 21 21 $884.94
36415 Collection of venous blood by venipuncture <1% 290 224 $196.80
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% 1,413 1,230 $95.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,589 1,211 $51.65
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 733 557 $39.14
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 950 816 $23.00
29 more codes
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 590 $20.00
90715 <1% 30 $16.71
96127 <1% 1,919 $6.00
81025 <1% 123 $5.16
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 387 $5.00
3079F 0% 1,287 $0.00
3075F 0% 755 $0.00
1036F 0% 5,998 $0.00
3074F 0% 5,973 $0.00
3008F 0% 7,673 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 72 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 922 $0.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 0% 14 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 0% 12 $0.00
90677 0% 30 $0.00
G0008 Administration of influenza virus vaccine 0% 16 $0.00
90832 Psychotherapy session, about 30 minutes 0% 870 $0.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 0% 550 $0.00
3078F 0% 5,793 $0.00
0502F 0% 579 $0.00
90791 Psychiatric diagnostic evaluation 0% 171 $0.00
1160F 0% 6,507 $0.00
3725F 0% 5,375 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 0% 41 $0.00
3077F 0% 223 $0.00
99203 Doctor's office visit, new patient (routine) 0% 51 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 130 $0.00
81002 0% 23 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 0% 12 $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 officialMOLDOVAN, JOSEPH (CHIEF FINANCIAL OFFICER)
Same official

Other billing entities under MOLDOVAN, JOSEPH

Full network →

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