Prohealth Physician Group LLC
Prohealth Physician Group LLC was paid $413K by Medicaid between Jan 2018 and May 2023, across 20 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 46% of everything it billed.
33Billing provider infoPROHEALTH PHYSICIAN GROUP LLC
PERRYSBURG, OH 43551
PERRYSBURG, OH 43551
33aNPI1912208729assigned 11/10/2010
33bProvider typeOptometrist
28Total paid$413K
24GClaims22,446
24DCodes billed20
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#85 of 1,098
Median peer was paid$41K
This provider vs. median10×
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 | |
|---|---|---|---|
| 2018 | 5,387 | $74K | |
| 2019 | 5,620 | $113K | |
| 2020 | 4,375 | $86K | |
| 2021 | 3,654 | $72K | |
| 2022 | 2,850 | $61K | |
| 2023 | 560 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility care, per day, straightforward | 46% | 11,938 | 8,670 | $190K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 20% | 4,183 | 2,297 | $83K |
| 99348 | 13% | 2,270 | 2,027 | $54K | |
| 99349 | 12% | 1,577 | 1,431 | $51K | |
| 99335 | 2.7% | 882 | 766 | $11K | |
| 99350 | Prolong home eval add 15m | 1.4% | 275 | 220 | $6K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.1% | 114 | 105 | $4K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 235 | 124 | $4K |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 539 | 492 | $4K |
| 99336 | <1% | 116 | 95 | $2K | |
| 99344 | <1% | 13 | 12 | $709.68 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 23 | 23 | $661.37 |
8 more codes
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 67 | $528.00 |
| 99307 | <1% | 64 | $525.23 | |
| 99343 | <1% | 13 | $463.68 | |
| 99406 | <1% | 71 | $324.16 | |
| 99334 | <1% | 13 | $174.70 | |
| 99347 | <1% | 16 | $149.05 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 17 | $47.34 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 20 | $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 officialADAMS, RITCHIE (OWNER/CEO)
| Provider | Location | Paid |
|---|---|---|
| Prohealth Mobile X-Ray LLC | Perrysburg, OH | $28K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.