diff --git a/litellm-proxy-extras/litellm_proxy_extras/migrations/20260415120000_health_check_latest_per_model_index/migration.sql b/litellm-proxy-extras/litellm_proxy_extras/migrations/20260415120000_health_check_latest_per_model_index/migration.sql
new file mode 100644
index 0000000000..773b884e83
--- /dev/null
+++ b/litellm-proxy-extras/litellm_proxy_extras/migrations/20260415120000_health_check_latest_per_model_index/migration.sql
@@ -0,0 +1,2 @@
+-- CreateIndex
+CREATE INDEX IF NOT EXISTS "LiteLLM_HealthCheckTable_model_id_model_name_checked_at_idx" ON "LiteLLM_HealthCheckTable"("model_id", "model_name", "checked_at" DESC);
diff --git a/litellm-proxy-extras/litellm_proxy_extras/schema.prisma b/litellm-proxy-extras/litellm_proxy_extras/schema.prisma
index fce95465b5..1b3db52eaa 100644
--- a/litellm-proxy-extras/litellm_proxy_extras/schema.prisma
+++ b/litellm-proxy-extras/litellm_proxy_extras/schema.prisma
@@ -1045,6 +1045,7 @@ model LiteLLM_HealthCheckTable {
   @@index([model_name])
   @@index([checked_at])
   @@index([status])
+  @@index([model_id, model_name, checked_at(sort: Desc)], map: "LiteLLM_HealthCheckTable_model_id_model_name_checked_at_idx")
 }
 
 // Search Tools table for storing search tool configurations
diff --git a/litellm/proxy/schema.prisma b/litellm/proxy/schema.prisma
index fce95465b5..1b3db52eaa 100644
--- a/litellm/proxy/schema.prisma
+++ b/litellm/proxy/schema.prisma
@@ -1045,6 +1045,7 @@ model LiteLLM_HealthCheckTable {
   @@index([model_name])
   @@index([checked_at])
   @@index([status])
+  @@index([model_id, model_name, checked_at(sort: Desc)], map: "LiteLLM_HealthCheckTable_model_id_model_name_checked_at_idx")
 }
 
 // Search Tools table for storing search tool configurations
diff --git a/schema.prisma b/schema.prisma
index fce95465b5..1b3db52eaa 100644
--- a/schema.prisma
+++ b/schema.prisma
@@ -1045,6 +1045,7 @@ model LiteLLM_HealthCheckTable {
   @@index([model_name])
   @@index([checked_at])
   @@index([status])
+  @@index([model_id, model_name, checked_at(sort: Desc)], map: "LiteLLM_HealthCheckTable_model_id_model_name_checked_at_idx")
 }
 
 // Search Tools table for storing search tool configurations