Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Lakewood › NPI 1619390390
Physician

Prohealth Partners a Medical Group INC

Prohealth Partners a Medical Group INC was paid $137K by Medicaid between Feb 2019 and Apr 2022, across 6 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 56% of everything it billed.

33Billing provider infoPROHEALTH PARTNERS A MEDICAL GROUP INC
LAKEWOOD, CA 90712
33aNPI1619390390assigned 01/30/2014
28Total paid$137K
24GClaims4,226
24DCodes billed6
24AFirst – last monthFeb 2019 – Apr 2022
Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#552 of 2,679
Median peer was paid$13K
This provider vs. median11×

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$5.0K$10K$15K2018201920202021202220232024
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
20191,239$14K
2020623$22K
20211,569$63K
2022795$38K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 56% 1,851 451 $76K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 33% 1,940 363 $46K
99223 Prolong inpt eval add15 m 7.5% 149 145 $10K
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 3.7% 162 146 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 0% 72 49 $0.00
36415 Collection of venous blood by venipuncture 0% 52 37 $0.00

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.