Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Prohealth Partners, a Medical Group

Prohealth Partners, a Medical Group was paid $42K by Medicaid between Jan 2018 and Aug 2020, across 5 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 55% of everything it billed.

33Billing provider infoPROHEALTH PARTNERS, A MEDICAL GROUP
LAKEWOOD, CA 90712
33aNPI1003949975assigned 03/13/2007
33bProvider typeHospitalist Physician
28Total paid$42K
24GClaims1,442
24DCodes billed5
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers

Next to other Hospitalist Physician providers in California

Rank by total paid#90 of 208
Median peer was paid$20K
This provider vs. median2.1×

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 ALLSWANG, BARRY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018321$9K
2019638$19K
2020483$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 55% 972 248 $23K
99223 Prolong inpt eval add15 m 37% 261 248 $16K
99238 Hospital discharge day management, 30 minutes or less 8.3% 177 172 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 0% 15 13 $0.00
3008F 0% 17 17 $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 officialALLSWANG, BARRY (PRESIDENT)
Same official

Other billing entities under ALLSWANG, BARRY

Full network →

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