Physician
Prohealth Partners a Medical Group INC
Prohealth Partners a Medical Group INC was paid $55K by Medicaid between Apr 2018 and Jul 2024, across 12 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 27% of everything it billed.
33Billing provider infoPROHEALTH PARTNERS A MEDICAL GROUP INC
LAKEWOOD, CA 90712
LAKEWOOD, CA 90712
33aNPI1093848509assigned 03/13/2007
33bProvider typeFamily Medicine Physician
28Total paid$55K
24GClaims1,938
24DCodes billed12
24AFirst – last monthApr 2018 – Jul 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#807 of 2,511
Median peer was paid$13K
This provider vs. median4.3×
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 FERRERA, PETER controls 16+ 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 | 245 | $1K | |
| 2019 | 206 | $2K | |
| 2020 | 33 | $548.14 | |
| 2021 | 28 | $2K | |
| 2022 | 40 | $2K | |
| 2023 | 855 | $32K | |
| 2024incomplete | 531 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 27% | 706 | 128 | $15K |
| 99223 | Prolong inpt eval add15 m | 21% | 195 | 190 | $12K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 19% | 171 | 170 | $11K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 325 | 257 | $9K |
| 99239 | Hospital discharge day management, more than 30 minutes | 8.5% | 144 | 142 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.9% | 83 | 41 | $3K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.8% | 85 | 56 | $987.90 |
| 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 | <1% | 13 | 13 | $292.28 |
| 1036F | <1% | 51 | 48 | $0.02 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 64 | 61 | $0.02 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | <1% | 48 | 45 | $0.01 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | <1% | 53 | 50 | $0.01 |
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 officialFERRERA, PETER (PRESIDENT)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.