Prohealth Partners a Medical Group
Prohealth Partners a Medical Group was paid $445K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 61% of everything it billed.
LAKEWOOD, CA 90712
Next to other Internal Medicine 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 | 2,866 | $77K | |
| 2019 | 4,469 | $170K | |
| 2020 | 3,553 | $162K | |
| 2021 | 665 | $27K | |
| 2022 | 90 | $256.04 | |
| 2023 | 303 | $7K | |
| 2024incomplete | 255 | $1K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 61% | 1,790 | 1,696 | $270K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 29% | 7,235 | 1,551 | $130K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.5% | 755 | 192 | $24K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.4% | 1,690 | 1,611 | $15K |
| 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 | <1% | 677 | 667 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 54 | 53 | $532.14 |
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.