Physician
Prohealth Leaders LLC
Prohealth Leaders LLC was paid $297K by Medicaid between Nov 2020 and Sep 2023, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
33Billing provider infoPROHEALTH LEADERS LLC
PHILADELPHIA, PA 19115
PHILADELPHIA, PA 19115
33aNPI1053827485assigned 12/21/2017
33bProvider typeEmergency Medicine Physician
28Total paid$297K
24GClaims6,390
24DCodes billed7
24AFirst – last monthNov 2020 – Sep 2023
Compared with peers
Next to other Emergency Medicine Physician providers in Pennsylvania
Rank by total paid#87 of 1,211
Median peer was paid$19K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2020 | 17 | $7.50 | |
| 2021 | 506 | $15K | |
| 2022 | 4,412 | $196K | |
| 2023 | 1,455 | $86K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 44% | 2,378 | 1,899 | $129K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 2,202 | 1,750 | $94K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 16% | 1,362 | 1,189 | $48K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.4% | 388 | 368 | $22K |
| 99483 | Prolong outpt/office vis | <1% | 31 | 31 | $3K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | 12 | $604.72 |
| 99000 | <1% | 17 | 17 | $7.50 |
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 officialGEORGE, ANITHA (MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Prohealth Associates LLC | Huntingdon Valley, PA | $278K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.