Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PROHEALTH PARTNERS A MEDICAL GROUP INC

NPI: 1093848509 · LAKEWOOD, CA 90712 · Family Medicine Physician · NPI assigned 03/13/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official FERRERA, PETER controls 16+ related entities in our dataset. Read more

$55K
Total Medicaid Paid
1,938
Total Claims
1,201
Beneficiaries
12
Codes Billed
2018-04
First Month
2024-07
Last Month

Provider Details

Authorized OfficialFERRERA, PETER (PRESIDENT)
NPI Enumeration Date03/13/2007

Related Entities

Other providers sharing the same authorized official: FERRERA, PETER

ProviderCityStateTotal Paid
PROHEALTH PARTNERS A MEDICAL GROUP TORRANCE CA $5.41M
PROHEALTH PARTNERS A MEDICAL GROUP INC LOS ALAMITOS CA $1.55M
PROHEALTH PARTNERS A MEDICAL GROUP INC LOS ALAMITOS CA $507K
PROHEALTH PARTNERS A MEDICAL GROUP INC LONG BEACH CA $422K
PROHEALTH PARTNERS A MEDICAL GROUP INC SANTA ANA CA $240K
PROHEALTH PARTNERS, A MEDICAL GROUP, INC LONG BEACH CA $221K
PROHEALTH PARTNERS, A MEDICAL GROUP, INC. LONG BEACH CA $100K
PROHEALTH PARTNERS A MEDICAL GROUP INC LONG BEACH CA $54K
PROHEALTH PARTNERS A MEDICAL GROUP INC LONG BEACH CA $39K
PROHEALTH PARTNERS A MEDICAL GROUP INC LONG BEACH CA $37K
PROHEALTH PARTNERS A MEDICAL GROUP INC LAKEWOOD CA $23K
PROHEALTH PARTNERS A MEDICAL GROUP LOS ALAMITOS CA $21K
PROHEALTH PARTNERS, A MEDICAL GROUP, INC. LOS ALAMITOS CA $21K
PROHEALTH PARTNERS A MEDICAL GROUP LAKEWOOD CA $5K
PROHEALTH PARTNERS A MEDICAL GROUP INC LONG BEACH CA $1K
PROHEALTH PARTNERS A MEDICAL GROUP INC LONG BEACH CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 245 $1K
2019 206 $2K
2020 33 $548.14
2021 28 $2K
2022 40 $2K
2023 855 $32K
2024 531 $15K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99232 Subsequent hospital care, per day, moderate complexity 706 128 $15K
99223 Prolong inpt eval add15 m 195 190 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 171 170 $11K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 325 257 $9K
99239 Hospital discharge day management, more than 30 minutes 144 142 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 83 41 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 85 56 $987.90
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13 13 $292.28
1036F 51 48 $0.02
G8420 Bmi is documented within normal parameters and no follow-up plan is required 64 61 $0.02
G8752 Most recent systolic blood pressure < 140 mmhg 48 45 $0.01
G8754 Most recent diastolic blood pressure < 90 mmhg 53 50 $0.01