Clinic
Prohealth Clinic
Prohealth Clinic was paid $137K by Medicaid between Dec 2022 and Dec 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 73% of everything it billed.
33Billing provider infoPROHEALTH CLINIC
BENSALEM, PA 19020
BENSALEM, PA 19020
33aNPI1679156632assigned 04/28/2021
33bProvider typeClinic/Center
28Total paid$137K
24GClaims2,665
24DCodes billed6
24AFirst – last monthDec 2022 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Pennsylvania
Rank by total paid#113 of 176
Median peer was paid$441K
This provider vs. median0.3×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 16 | $0.00 | |
| 2023 | 904 | $36K | |
| 2024incomplete | 1,745 | $100K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 73% | 1,906 | 1,499 | $100K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 635 | 540 | $26K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 3.9% | 39 | 37 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.5% | 40 | 39 | $3K |
| 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 | 1.5% | 18 | 16 | $2K |
| 99490 | Ccm add 20min | <1% | 27 | 27 | $386.41 |
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 officialMATHEW, SIBI (OWNER)