Medicaid Provider Spending

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

PROHEALTH PARTNERS, A MEDICAL GROUP, INC.

NPI: 1134251192 · LONG BEACH, CA 90804 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 03/12/2007

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

Authorized official ALLSWANG, BARRY controls 20+ related entities in our dataset. Read more

$299K
Total Medicaid Paid
7,377
Total Claims
7,340
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialALLSWANG, BARRY (PRESIDENT)
NPI Enumeration Date03/12/2007

Related Entities

Other providers sharing the same authorized official: ALLSWANG, BARRY

ProviderCityStateTotal Paid
PROHEALTH PARTNERS, A MEDICAL GROUP, INC. LAKEWOOD CA $4.01M
PROHEALTH PARTNERS A MEDICAL GROUP INC UPLAND CA $3.08M
PROHEALTH PARTNERS A MEDICAL GROUP TORRANCE CA $2.17M
PROHEALTH PARTNERS, A MEDICAL GROUP LONG BEACH CA $1.77M
PROHEALTH PARTNERS, A MEDICAL GROUP, INC. LONG BEACH CA $728K
PROHEALTH PARTNERS A MEDICAL GROUP LOS ALAMITOS CA $446K
PROHEALTH PARTNERS A MEDICAL GROUP LAKEWOOD CA $445K
PROHEALTH PARTNERS A MEDICAL GROUP LONG BEACH CA $301K
PROHEALTH PARTNERS A MEDICAL GROUP LONG BEACH CA $197K
PROHEALTH PARTNERS, A MEDICAL GROUP LAKEWOOD CA $139K
PROHEALTH PARTNERS A MEDICAL GROUP INC LAKEWOOD CA $137K
PROHEALTH PARTNERS A MEDICAL GROUP LOS ANGELES CA $83K
PROHEALTH PARTNERS A MEDICAL GROUP GARDEN GROVE CA $82K
PROHEALTH PARTNERS, A MEDICAL GROUP, INC. LONG BEACH CA $80K
PROHEALTH PARTNERS A MEDICAL GROUP INC IRVINE CA $51K
PROHEALTH PARTNERS A MEDICAL GROUP INC HAWAIIAN GARDENS CA $45K
PROHEALTH PARTNERS, A MEDICAL GROUP LAKEWOOD CA $42K
PROHEALTH PARTNERS A MEDICAL GROUP INC LONG BEACH CA $37K
PROHEALTH PARTNERS A MEDICAL GROUP INC COMPTON CA $36K
PROHEALTH PARTNERS, A MEDICAL GROUP LONG BEACH CA $34K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 767 $19K
2019 958 $40K
2020 1,165 $35K
2021 1,915 $57K
2022 1,063 $59K
2023 877 $51K
2024 632 $38K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,338 5,317 $269K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 329 329 $19K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 371 363 $9K
95251 64 63 $2K
1003F 85 85 $403.00
90686 20 20 $90.00
3008F 180 179 $0.00
3074F 102 99 $0.00
1036F 105 105 $0.00
1123F 98 98 $0.00
1126F 63 63 $0.00
94760 12 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 97 97 $0.00
3079F 31 30 $0.00
36415 Collection of venous blood by venipuncture 16 16 $0.00
3725F 12 12 $0.00
3078F 88 86 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 98 98 $0.00
1158F 98 98 $0.00
G9920 Screening performed and negative 12 12 $0.00
1160F 98 98 $0.00
96159 15 15 $0.00
1033F 13 13 $0.00
1091F 32 32 $0.00