Behavioral
Pro-Health Medical FP
Pro-Health Medical FP was paid $145K by Medicaid between Jul 2022 and Nov 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 71% of everything it billed.
33Billing provider infoPRO-HEALTH MEDICAL FP
LAKE ORION, MI 48359
LAKE ORION, MI 48359
33aNPI1740841451assigned 06/24/2019
33bProvider typeSocial Worker
28Total paid$145K
24GClaims4,918
24DCodes billed25
24AFirst – last monthJul 2022 – Nov 2024
Compared with peers
Next to other Social Worker providers in Michigan
Rank by total paid#48 of 142
Median peer was paid$65K
This provider vs. median2.2×
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 | 182 | $9K | |
| 2023 | 3,315 | $96K | |
| 2024incomplete | 1,421 | $39K |
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 | 71% | 1,313 | 1,147 | $103K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 260 | 251 | $17K |
| 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 | 7.7% | 96 | 95 | $11K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.1% | 55 | 53 | $6K |
| 80305 | 2.7% | 456 | 382 | $4K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 15 | 15 | $1K |
| 99310 | Prolong nursin fac eval 15m | <1% | 27 | 25 | $1K |
| 36415 | Collection of venous blood by venipuncture | <1% | 298 | 280 | $1K |
| 99000 | <1% | 751 | 673 | $856.76 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 70 | 56 | $490.63 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 68 | 53 | $102.19 |
| 96127 | <1% | 16 | 16 | $44.12 |
13 more codes
| 3074F | <1% | 133 | $0.39 | |
| 3078F | <1% | 120 | $0.37 | |
| 2010F | <1% | 149 | $0.15 | |
| 1000F | <1% | 44 | $0.13 | |
| 3008F | <1% | 45 | $0.05 | |
| 1034F | <1% | 28 | $0.04 | |
| 1160F | 0% | 444 | $0.00 | |
| 1159F | 0% | 123 | $0.00 | |
| 3725F | 0% | 115 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 79 | $0.00 |
| 1126F | 0% | 32 | $0.00 | |
| 2000F | 0% | 152 | $0.00 | |
| 1036F | 0% | 29 | $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 officialGREENE, STEVE (PRESIDENT)