Physician
Prohealth Partners a Medical Group INC
Prohealth Partners a Medical Group INC was paid $36K by Medicaid between Jan 2018 and Aug 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoPROHEALTH PARTNERS A MEDICAL GROUP INC
COMPTON, CA 90221
COMPTON, CA 90221
33aNPI1821429838assigned 12/02/2013
33bProvider typeFamily Medicine Physician
28Total paid$36K
24GClaims15,213
24DCodes billed40
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#957 of 2,511
Median peer was paid$13K
This provider vs. median2.8×
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
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 | |
|---|---|---|---|
| 2018 | 3,301 | $18K | |
| 2019 | 5,295 | $9K | |
| 2020 | 3,230 | $3K | |
| 2021 | 2,147 | $3K | |
| 2022 | 393 | $598.16 | |
| 2023 | 449 | $711.30 | |
| 2024incomplete | 398 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 43% | 1,526 | 1,452 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 40% | 2,971 | 2,815 | $14K |
| 90686 | 1.9% | 126 | 126 | $693.99 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.5% | 193 | 191 | $544.02 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.5% | 106 | 105 | $526.50 |
| 86580 | 1.4% | 132 | 131 | $515.97 | |
| 85018 | 1.4% | 718 | 714 | $510.10 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 119 | 118 | $505.31 |
| 92551 | 1.1% | 499 | 497 | $397.98 | |
| 92081 | 1.1% | 383 | 380 | $375.67 | |
| 81002 | 1.0% | 1,312 | 1,281 | $367.57 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,762 | 2,640 | $341.05 |
28 more codes
| 3008F | <1% | 1,773 | $298.14 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 101 | $268.89 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 208 | $258.40 |
| 81025 | <1% | 231 | $218.19 | |
| 90651 | <1% | 31 | $117.00 | |
| 90715 | <1% | 17 | $66.37 | |
| 82947 | <1% | 208 | $65.61 | |
| 90688 | <1% | 27 | $60.00 | |
| 90658 | <1% | 14 | $60.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 41 | $34.46 |
| 3074F | <1% | 375 | $23.49 | |
| 1036F | <1% | 270 | $21.83 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 94 | $20.87 |
| 3077F | <1% | 116 | $20.87 | |
| 90734 | <1% | 20 | $18.00 | |
| 3079F | 0% | 148 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 42 | $0.00 |
| 3044F | 0% | 111 | $0.00 | |
| 3075F | 0% | 27 | $0.00 | |
| 3080F | 0% | 12 | $0.00 | |
| 99441 | 0% | 99 | $0.00 | |
| 3048F | 0% | 37 | $0.00 | |
| 81000 | 0% | 12 | $0.00 | |
| 3078F | 0% | 294 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 12 | $0.00 |
| 90687 | 0% | 14 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 14 | $0.00 |
| 99442 | 0% | 18 | $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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.