Primary Health Care, Inc.
Primary Health Care, Inc. is a federally qualified health center (FQHC) in Iowa and a Health Center Program awardee, funded in part by Section 330 of the Public Health Service Act. Its service delivery sites include Des Moines, Ames, Marshalltown, and Urbandale. In 2025 it served 38,382 patients, down 4.8% from 40,335 in 2024. 36.1% of its patients were uninsured, compared with 20.0% across Iowa health centers and 17.2% nationally.
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38,382Patients served, 2025
36.1%of patients uninsured
38.9%of patients on Medicaid/CHIP
$1,646Total accrued cost per patient
$496Cost per visit
Primary Health Care, Inc. compared with Iowa and the nation, 2025
| Measure | Primary Health Care, Inc. | Iowa health centers | National |
|---|---|---|---|
| Patients | |||
| Children under 18 | 28.6% | 33.8% | 28.6% |
| Adults 65 and older | 8.0% | 8.7% | 12.8% |
| At or below 200% of the federal poverty guideline | 92.2% | 91.0% | 90.0% |
| Insurance status | |||
| Uninsured | 36.1% | 20.0% | 17.2% |
| Medicaid / CHIP | 38.9% | 48.7% | 47.9% |
| Medicare | 6.7% | 8.4% | 11.6% |
| Private insurance | 18.3% | 23.0% | 23.0% |
| Cost | |||
| Total accrued cost per patient | $1,646 | $1,405 | $1,672 |
| Cost per visit | $496 | $410 | $438 |
| Clinical quality | |||
| Cervical cancer screening | 63.8% | 61.1% | 57.0% |
| Colorectal cancer screening | 38.8% | 46.5% | 44.9% |
| Breast cancer screening | 52.4% | 57.4% | 56.0% |
| Controlling high blood pressure | 66.4% | 75.1% | 69.1% |
| Diabetes: HbA1c poor control (lower is better) | 27.5% | 24.9% | 26.3% |
| Depression screening and follow-up | 76.4% | 79.7% | 75.3% |
| Early entry into prenatal care | 65.9% | 71.3% | 73.4% |
| Childhood immunization status | 34.0% | 31.3% | 29.5% |
| Tobacco screening and cessation | 88.3% | 91.0% | 84.8% |
| Statin therapy for cardiovascular disease | 82.9% | 85.0% | 79.0% |
Patients by service
| Service | 2025 |
|---|---|
| Medical | 32,259 |
| Dental | 10,207 |
| Mental health | 3,023 |
| Total clinic visits | 127,493 |
Trends, 2016–2025
| Year | Patients | Cost per patient | Uninsured | Medicaid/CHIP |
|---|---|---|---|---|
| 2025 | 38,382 | $1,646 | 36.1% | 38.9% |
| 2024 | 40,335 | $1,514 | 36.9% | 39.5% |
| 2023 | 39,393 | $1,451 | 32.7% | 42.8% |
| 2022 | 37,678 | $1,411 | 28.2% | 46.4% |
| 2021 | 40,427 | $1,218 | 25.7% | 46.4% |
| 2020 | 37,680 | – | 26.5% | 43.6% |
| 2019 | 38,867 | – | 36.2% | 36.3% |
| 2018 | 38,601 | – | 36.9% | 36.5% |
| 2017 | 37,695 | – | 37.4% | 36.9% |
| 2016 | 36,898 | – | 35.0% | 36.6% |
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area on a map and its payer, age, diagnosis and service-line mix.
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