Clinic
Prohealth Rural Health Services, INC
Prohealth Rural Health Services, INC was paid $157K by Medicaid between Jan 2018 and Mar 2019, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 55% of everything it billed.
33Billing provider infoPROHEALTH RURAL HEALTH SERVICES, INC
FRANKLIN, TN 37064
FRANKLIN, TN 37064
33aNPI1104827534assigned 08/09/2005
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$157K
24GClaims6,239
24DCodes billed8
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Tennessee
Rank by total paid#36 of 90
Median peer was paid$87K
This provider vs. median1.8×
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 | 5,801 | $142K | |
| 2019 | 438 | $14K |
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 | 55% | 2,113 | 1,288 | $86K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 35% | 1,980 | 1,269 | $55K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 7.0% | 426 | 268 | $11K |
| 81025 | 2.1% | 978 | 594 | $3K | |
| 80305 | <1% | 336 | 220 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 102 | 66 | $133.27 |
| 96150 | <1% | 69 | 45 | $41.80 | |
| 99000 | 0% | 235 | 131 | $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 officialWHITE, RAY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Jan Zwarts Valley, LLC | Franklin, TN | $75K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.