Physician
Prohealth Partners, a Medical Group, INC.
Prohealth Partners, a Medical Group, INC. was paid $4.01M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 77067, Screening mammography, bilateral, including computer-aided detection — 28% of everything it billed.
33Billing provider infoPROHEALTH PARTNERS, A MEDICAL GROUP, INC.
LAKEWOOD, CA 90712
LAKEWOOD, CA 90712
33aNPI1447383310assigned 03/13/2007
33bProvider typeCardiovascular Disease Physician
28Total paid$4.01M
24GClaims80,376
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Cardiovascular Disease Physician providers in California
Rank by total paid#22 of 714
Median peer was paid$28K
This provider vs. median141×
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.
Entity ProliferationAuthorized official ALLSWANG, BARRY controls 20+ related entities in our dataset. Read more
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 | 2,283 | $67K | |
| 2019 | 5,860 | $264K | |
| 2020 | 7,041 | $388K | |
| 2021 | 8,946 | $559K | |
| 2022 | 14,155 | $964K | |
| 2023 | 21,082 | $1.08M | |
| 2024incomplete | 21,009 | $689K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 77067 | Screening mammography, bilateral, including computer-aided detection | 28% | 13,709 | 13,699 | $1.12M |
| 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 | 17% | 10,656 | 10,554 | $674K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 8.7% | 2,323 | 1,063 | $348K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 6.6% | 2,427 | 2,416 | $266K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 6.0% | 3,876 | 3,789 | $239K |
| 76801 | 5.3% | 4,005 | 3,749 | $212K | |
| 99223 | Prolong inpt eval add15 m | 4.9% | 3,304 | 3,249 | $196K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.5% | 6,611 | 2,892 | $141K |
| 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 | 3.0% | 1,175 | 1,173 | $120K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.5% | 11,115 | 9,440 | $102K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.4% | 2,713 | 2,557 | $98K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.4% | 3,120 | 1,368 | $97K |
47 more codes
| 76813 | 1.5% | 751 | $59K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.4% | 1,326 | $55K |
| 99203 | Doctor's office visit, new patient (routine) | 1.3% | 636 | $53K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.0% | 1,525 | $40K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 660 | $24K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 75 | $22K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 147 | $22K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 494 | $20K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 347 | $19K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 301 | $16K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 39 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 464 | $11K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 440 | $11K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 118 | $6K |
| 95251 | <1% | 191 | $5K | |
| 96156 | <1% | 970 | $4K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 95 | $4K |
| 97597 | <1% | 83 | $3K | |
| 90688 | <1% | 149 | $3K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 55 | $2K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 29 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 15 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 154 | $1K |
| 73562 | <1% | 45 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,008 | $716.72 |
| 73030 | <1% | 12 | $383.12 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 152 | $376.11 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 176 | $375.76 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 14 | $245.34 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 388 | $193.37 |
| 3074F | <1% | 388 | $111.39 | |
| 3079F | <1% | 376 | $108.42 | |
| 3075F | <1% | 269 | $74.26 | |
| 93000 | <1% | 14 | $49.42 | |
| 3078F | <1% | 370 | $37.14 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 373 | $0.16 |
| 3008F | 0% | 118 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 826 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 218 | $0.00 |
| 3080F | 0% | 161 | $0.00 | |
| 99385 | 0% | 12 | $0.00 | |
| 92551 | 0% | 12 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 12 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 38 | $0.00 |
| 3077F | 0% | 253 | $0.00 | |
| 99442 | 0% | 28 | $0.00 | |
| 99173 | 0% | 15 | $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 officialALLSWANG, BARRY (PRESIDENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.