Prohealth Partners a Medical Group
Prohealth Partners a Medical Group was paid $2.17M by Medicaid between Sep 2019 and Nov 2024, across 14 billing codes. Its largest line is 90960, End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits — 36% of everything it billed.
TORRANCE, CA 90502
Next to other Dermatology 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 | |
|---|---|---|---|
| 2019 | 407 | $57K | |
| 2020 | 1,549 | $221K | |
| 2021 | 3,116 | $402K | |
| 2022 | 2,965 | $549K | |
| 2023 | 2,430 | $466K | |
| 2024incomplete | 2,632 | $477K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 36% | 3,135 | 3,135 | $788K |
| 90966 | 21% | 1,922 | 1,922 | $466K | |
| 90961 | 20% | 2,196 | 2,196 | $436K | |
| 76801 | 6.4% | 1,951 | 1,843 | $140K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 6.0% | 948 | 815 | $130K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 3.5% | 955 | 942 | $75K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 2.6% | 1,082 | 1,082 | $56K |
| 76813 | 2.0% | 450 | 366 | $43K | |
| 90962 | 1.2% | 219 | 219 | $27K | |
| 99223 | Prolong inpt eval add15 m | <1% | 94 | 91 | $8K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 60 | 13 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 60 | 24 | $951.36 |
2 more codes
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.