Prohealth Partners a Medical Group
Prohealth Partners a Medical Group was paid $82K by Medicaid between Oct 2018 and Oct 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
GARDEN GROVE, CA 92843
Next to other Interventional Cardiology 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 | 64 | $210.80 | |
| 2019 | 1,172 | $5K | |
| 2020 | 1,536 | $16K | |
| 2021 | 468 | $15K | |
| 2022 | 197 | $9K | |
| 2023 | 183 | $8K | |
| 2024incomplete | 813 | $30K |
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 | 51% | 1,907 | 1,675 | $42K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 34% | 454 | 436 | $28K |
| 93880 | 5.3% | 70 | 68 | $4K | |
| 93000 | 3.1% | 247 | 235 | $3K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.8% | 91 | 30 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.7% | 742 | 196 | $1K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.3% | 186 | 161 | $1K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 560 | 117 | $481.58 |
| 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% | 12 | 12 | $248.04 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 105 | 89 | $173.92 |
| 99223 | Prolong inpt eval add15 m | <1% | 59 | 53 | $96.12 |
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.