Physician
Pro Health One INC
Pro Health One INC was paid $1.61M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 62% of everything it billed.
33Billing provider infoPRO HEALTH ONE INC
DENVER, CO 80237
DENVER, CO 80237
33aNPI1053714584assigned 09/29/2014
33bProvider typeInternal Medicine Physician
28Total paid$1.61M
24GClaims94,354
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Colorado
Rank by total paid#19 of 193
Median peer was paid$34K
This provider vs. median47×
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
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 | 5,764 | $67K | |
| 2019 | 7,626 | $152K | |
| 2020 | 8,577 | $194K | |
| 2021 | 12,375 | $213K | |
| 2022 | 18,056 | $270K | |
| 2023 | 20,981 | $305K | |
| 2024incomplete | 20,975 | $409K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 62% | 57,322 | 26,098 | $1000K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 9.9% | 11,512 | 7,755 | $159K |
| 11043 | 9.0% | 6,185 | 3,084 | $145K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 7.1% | 9,256 | 5,071 | $114K |
| 99304 | 3.8% | 2,799 | 2,496 | $61K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.6% | 1,121 | 456 | $42K |
| 99307 | 1.8% | 2,972 | 1,552 | $30K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.2% | 763 | 340 | $19K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 261 | 114 | $12K |
| 11044 | <1% | 431 | 193 | $7K | |
| 99305 | <1% | 222 | 197 | $6K | |
| 11046 | <1% | 297 | 152 | $5K |
13 more codes
| 99254 | <1% | 103 | $4K | |
| 99223 | Prolong inpt eval add15 m | <1% | 40 | $2K |
| 11045 | <1% | 249 | $2K | |
| 17250 | <1% | 351 | $1K | |
| 99234 | <1% | 22 | $875.40 | |
| 99406 | <1% | 115 | $463.46 | |
| 11721 | <1% | 76 | $368.86 | |
| 11719 | <1% | 64 | $170.33 | |
| 81025 | 0% | 15 | $0.00 | |
| 80305 | 0% | 48 | $0.00 | |
| 82075 | 0% | 48 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 34 | $0.00 |
| 99000 | 0% | 48 | $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 officialRAI, PRADEEP (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Magnolia Medical Company | Denver, CO | $5.32M |
| Magnolia Medical Company | Denver, CO | $1.81M |
| Forte Health and Wellness INC | Denver, CO | $450K |
| Forte Health and Wellness INC | Wheat Ridge, CO | $35K |
| Magnolia Medical Group | Denver, CO | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.