Prohealth Partners a Medical Group INC
Prohealth Partners a Medical Group INC was paid $54K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 51% of everything it billed.
LONG BEACH, CA 90806
Next to other Sleep Medicine (Internal Medicine) Physician providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 51 | $3K | |
| 2019 | 13 | $1K | |
| 2020 | 25 | $0.00 | |
| 2022 | 118 | $964.83 | |
| 2023 | 277 | $7K | |
| 2024incomplete | 1,198 | $42K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 51% | 785 | 285 | $27K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 185 | 64 | $6K |
| 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 | 10% | 78 | 78 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.9% | 169 | 164 | $5K |
| 99239 | Hospital discharge day management, more than 30 minutes | 9.3% | 102 | 101 | $5K |
| 99223 | Prolong inpt eval add15 m | 6.9% | 96 | 95 | $4K |
| 99255 | 1.7% | 14 | 14 | $900.76 | |
| 1160F | <1% | 13 | 13 | $50.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 85 | 85 | $0.00 |
| 3008F | 0% | 61 | 60 | $0.00 | |
| 3074F | 0% | 16 | 15 | $0.00 | |
| 3078F | 0% | 15 | 15 | $0.00 |
4 more codes
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Prohealth Partners a Medical Group | Torrance, CA | $5.41M |
| Prohealth Partners a Medical Group INC | Los Alamitos, CA | $1.55M |
| Prohealth Partners a Medical Group INC | Los Alamitos, CA | $507K |
| Prohealth Partners a Medical Group INC | Long Beach, CA | $422K |
| Prohealth Partners a Medical Group INC | Santa Ana, CA | $240K |
| Prohealth Partners, a Medical Group, INC | Long Beach, CA | $221K |
| Prohealth Partners, a Medical Group, INC. | Long Beach, CA | $100K |
| Prohealth Partners a Medical Group INC | Lakewood, CA | $55K |
| Prohealth Partners a Medical Group INC | Long Beach, CA | $39K |
| Prohealth Partners a Medical Group INC | Long Beach, CA | $37K |
| Prohealth Partners a Medical Group INC | Lakewood, CA | $23K |
| Prohealth Partners a Medical Group | Los Alamitos, CA | $21K |
| Prohealth Partners, a Medical Group, INC. | Los Alamitos, CA | $21K |
| Prohealth Partners a Medical Group | Lakewood, CA | $5K |
| Prohealth Partners a Medical Group INC | Long Beach, CA | $1K |
| Prohealth Partners a Medical Group INC | Long Beach, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.