Prohealth Partners a Medical Group
Prohealth Partners a Medical Group was paid $301K by Medicaid between Feb 2018 and Nov 2024, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
LONG BEACH, CA 90813
Next to other Surgery 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 | 255 | $11K | |
| 2019 | 468 | $38K | |
| 2020 | 858 | $42K | |
| 2021 | 1,243 | $68K | |
| 2022 | 769 | $47K | |
| 2023 | 699 | $52K | |
| 2024incomplete | 673 | $42K |
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 | 36% | 1,931 | 1,797 | $107K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 31% | 1,599 | 1,594 | $95K |
| 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 | 13% | 650 | 608 | $40K |
| 73562 | 6.3% | 335 | 318 | $19K | |
| 99223 | Prolong inpt eval add15 m | 4.6% | 85 | 81 | $14K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 3.9% | 173 | 171 | $12K |
| 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 | 2.7% | 91 | 91 | $8K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 25 | 24 | $2K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 14 | 13 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 23 | 12 | $1K |
| 99253 | <1% | 12 | 12 | $501.60 | |
| 20610 | <1% | 14 | 12 | $433.65 |
1 more codes
| 99221 | <1% | 13 | $205.26 |
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
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.