Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Upland › NPI 1992245047
Physician

Prohealth Partners a Medical Group INC

Prohealth Partners a Medical Group INC was paid $9K by Medicaid between Jan 2018 and Jan 2020, across 5 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 36% of everything it billed.

33Billing provider infoPROHEALTH PARTNERS A MEDICAL GROUP INC
UPLAND, CA 91786
33aNPI1992245047assigned 03/07/2017
28Total paid$9K
24GClaims420
24DCodes billed5
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers

Next to other Cardiovascular Disease Physician providers in California

Rank by total paid#446 of 714
Median peer was paid$28K
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.

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018378$9K
201927$182.44
202015$100.53
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 36% 18 18 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 27% 287 243 $2K
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 15% 24 24 $1K
93000 15% 62 61 $1K
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 5.7% 29 25 $505.21

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)
Same official

Other billing entities under ALLSWANG, BARRY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.