Prohealth Partners a Medical Group INC
Prohealth Partners a Medical Group INC was paid $240K by Medicaid between Sep 2018 and Nov 2024, across 11 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 45% of everything it billed.
SANTA ANA, CA 92707
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 | 351 | $2K | |
| 2019 | 1,422 | $13K | |
| 2020 | 4,378 | $30K | |
| 2021 | 1,716 | $24K | |
| 2022 | 705 | $32K | |
| 2023 | 1,014 | $52K | |
| 2024incomplete | 1,888 | $87K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 45% | 1,545 | 1,506 | $108K |
| 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 | 19% | 1,101 | 998 | $45K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 13% | 2,901 | 898 | $32K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 11% | 2,761 | 2,487 | $26K |
| 99255 | 3.2% | 104 | 102 | $8K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.9% | 2,129 | 586 | $7K |
| 99223 | Prolong inpt eval add15 m | 2.6% | 655 | 628 | $6K |
| 93000 | 1.9% | 184 | 173 | $5K | |
| 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% | 26 | 26 | $2K |
| 93015 | <1% | 16 | 16 | $1K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 52 | 14 | $583.68 |
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
| Provider | Location | Paid |
|---|---|---|
| Prohealth Partners a Medical Group | Torrance, CA | $5.41M |
| Prohealth Partners a Medical Group INC | Los Alamitos, CA | $1.55M |
| Prohealth Partners a Medical Group INC | Los Alamitos, CA | $507K |
| Prohealth Partners a Medical Group INC | Long Beach, CA | $422K |
| Prohealth Partners, a Medical Group, INC | Long Beach, CA | $221K |
| Prohealth Partners, a Medical Group, INC. | Long Beach, CA | $100K |
| Prohealth Partners a Medical Group INC | Lakewood, CA | $55K |
| Prohealth Partners a Medical Group INC | Long Beach, CA | $54K |
| Prohealth Partners a Medical Group INC | Long Beach, CA | $39K |
| Prohealth Partners a Medical Group INC | Long Beach, CA | $37K |
| Prohealth Partners a Medical Group INC | Lakewood, CA | $23K |
| Prohealth Partners a Medical Group | Los Alamitos, CA | $21K |
| Prohealth Partners, a Medical Group, INC. | Los Alamitos, CA | $21K |
| Prohealth Partners a Medical Group | Lakewood, CA | $5K |
| Prohealth Partners a Medical Group INC | Long Beach, CA | $1K |
| Prohealth Partners a Medical Group INC | Long Beach, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.