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

Prohealth Prevention LLC

Prohealth Prevention LLC was paid $54K by Medicaid between Feb 2019 and Mar 2022, across 2 billing codes. Its largest line is A5512, For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each — 53% of everything it billed.

33Billing provider infoPROHEALTH PREVENTION LLC
CHICAGO, IL 60608
33aNPI1518323195assigned 01/12/2016
33bProvider typeClinic/Center
28Total paid$54K
24GClaims3,123
24DCodes billed2
24AFirst – last monthFeb 2019 – Mar 2022
Compared with peers

Next to other Clinic/Center providers in Illinois

Rank by total paid#9 of 22
Median peer was paid$33K
This provider vs. median1.6×

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.

Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
2019753$18K
20201,128$14K
2021990$16K
2022252$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
A5512 For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each 53% 1,559 920 $29K
A5500 For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe 47% 1,564 921 $26K

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 officialNICOLINI, JULIA (PRESIDENT/CEO)