Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Prohealth Partners a Medical Group INC

Prohealth Partners a Medical Group INC was paid $27K by Medicaid between Jan 2018 and Feb 2021, across 5 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 35% of everything it billed.

33Billing provider infoPROHEALTH PARTNERS A MEDICAL GROUP INC
LOS ALAMITOS, CA 90720
33aNPI1508004086assigned 01/22/2009
28Total paid$27K
24GClaims1,505
24DCodes billed5
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#1,075 of 2,679
Median peer was paid$13K
This provider vs. median2.2×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
20181,223$24K
2020191$3K
202191$313.66
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 35% 224 211 $9K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 24% 523 268 $7K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 18% 431 66 $5K
99239 Hospital discharge day management, more than 30 minutes 18% 208 202 $5K
99309 Subsequent nursing facility care, per day, low to moderate complexity 5.5% 119 117 $2K

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)
Same official

Other billing entities under ALLSWANG, BARRY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.