Prohealth Partners a Medical Group INC
Prohealth Partners a Medical Group INC was paid $422K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 52% of everything it billed.
LONG BEACH, CA 90813
Next to other Infectious Disease 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 | 874 | $17K | |
| 2019 | 1,329 | $35K | |
| 2020 | 2,626 | $87K | |
| 2021 | 1,819 | $65K | |
| 2022 | 1,486 | $56K | |
| 2023 | 2,005 | $95K | |
| 2024incomplete | 1,455 | $68K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 52% | 7,257 | 2,244 | $218K |
| 99223 | Prolong inpt eval add15 m | 20% | 1,212 | 1,197 | $84K |
| 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 | 14% | 1,564 | 1,527 | $59K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 12% | 1,234 | 373 | $51K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.4% | 89 | 88 | $6K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 181 | 176 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 43 | 39 | $1K |
| 36415 | Collection of venous blood by venipuncture | 0% | 14 | 14 | $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.
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 | Santa Ana, CA | $240K |
| 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.