Physician
Prohealth Clinic PLLC
Prohealth Clinic PLLC was paid $1.38M by Medicaid between Jul 2019 and Nov 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoPROHEALTH CLINIC PLLC
HAMTRAMCK, MI 48212
HAMTRAMCK, MI 48212
33aNPI1134680333assigned 03/29/2019
33bProvider typeInternal Medicine Physician
28Total paid$1.38M
24GClaims28,993
24DCodes billed50
24AFirst – last monthJul 2019 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Michigan
Rank by total paid#93 of 816
Median peer was paid$70K
This provider vs. median20×
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 | |
|---|---|---|---|
| 2019 | 2,968 | $59K | |
| 2020 | 2,657 | $106K | |
| 2021 | 5,360 | $195K | |
| 2022 | 7,510 | $350K | |
| 2023 | 6,261 | $390K | |
| 2024incomplete | 4,237 | $279K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 44% | 10,761 | 9,040 | $607K |
| 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 | 31% | 5,065 | 4,465 | $432K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.1% | 1,855 | 1,852 | $126K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.4% | 551 | 536 | $48K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.5% | 818 | 765 | $34K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.2% | 299 | 286 | $30K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.9% | 224 | 224 | $26K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.1% | 176 | 171 | $16K |
| 86328 | 1.1% | 550 | 485 | $15K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 850 | 678 | $14K |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,573 | 2,468 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 171 | 161 | $6K |
38 more codes
| 99443 | <1% | 39 | $4K | |
| 99442 | <1% | 47 | $3K | |
| 99000 | <1% | 632 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 199 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 211 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 29 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $1K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 525 | $723.30 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 14 | $486.85 |
| 81002 | <1% | 160 | $422.29 | |
| 90756 | <1% | 16 | $387.80 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 36 | $346.92 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 43 | $319.06 |
| 99406 | <1% | 15 | $124.64 | |
| 96127 | <1% | 42 | $108.16 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 14 | $88.44 |
| 83037 | <1% | 15 | $88.44 | |
| 81025 | <1% | 12 | $78.43 | |
| 82044 | <1% | 17 | $67.08 | |
| 83013 | <1% | 12 | $50.00 | |
| 81001 | <1% | 17 | $39.30 | |
| 81003 | <1% | 25 | $29.92 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 12 | $17.74 |
| 1159F | <1% | 372 | $0.75 | |
| 1160F | <1% | 418 | $0.66 | |
| 3077F | <1% | 49 | $0.03 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 422 | $0.00 |
| 3079F | 0% | 71 | $0.00 | |
| 3074F | 0% | 309 | $0.00 | |
| 0001F | 0% | 373 | $0.00 | |
| 3075F | 0% | 21 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 179 | $0.00 |
| 3078F | 0% | 330 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 101 | $0.00 |
| 99072 | 0% | 104 | $0.00 | |
| 4551F | 0% | 77 | $0.00 | |
| 3725F | 0% | 112 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 18 | $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 officialFADEL, YASER (CEO)