Medicaid Provider Spending

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

PROHEALTH PARTNERS, A MEDICAL GROUP, INC.

NPI: 1215060199 · LONG BEACH, CA 90808 · Otolaryngology 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

$100K
Total Medicaid Paid
26,498
Total Claims
25,020
Beneficiaries
58
Codes Billed
2018-01
First Month
2024-04
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 LAKEWOOD CA $55K
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 4,284 $6K
2019 9,615 $28K
2020 8,595 $28K
2021 3,967 $37K
2022 25 $23.76
2024 12 $61.22

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,939 1,890 $34K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,579 3,184 $31K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 492 488 $20K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 124 57 $9K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 445 388 $2K
97597 36 14 $892.31
90674 81 76 $697.50
90686 51 50 $488.06
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 19 19 $376.96
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 484 454 $350.00
90756 16 16 $31.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 145 137 $0.00
3078F 1,565 1,500 $0.00
4004F 216 209 $0.00
3077F 215 209 $0.00
0521F 102 100 $0.00
1160F 873 827 $0.00
1158F 314 305 $0.00
1159F 796 748 $0.00
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 26 26 $0.00
3028F 787 733 $0.00
96160 24 24 $0.00
1090F 207 200 $0.00
3288F 245 238 $0.00
81002 156 154 $0.00
G0444 Annual depression screening, 5 to 15 minutes 23 23 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $0.00
1003F 109 105 $0.00
2022F 13 13 $0.00
2010F 804 749 $0.00
2000F 810 755 $0.00
1126F 613 576 $0.00
3008F 3,556 3,366 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 321 313 $0.00
99000 524 520 $0.00
3074F 1,567 1,502 $0.00
1000F 151 148 $0.00
36415 Collection of venous blood by venipuncture 1,958 1,911 $0.00
3017F 22 22 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 130 128 $0.00
1125F 65 64 $0.00
3061F 123 118 $0.00
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 95 90 $0.00
2001F 769 720 $0.00
82962 381 371 $0.00
1170F 352 339 $0.00
1036F 79 76 $0.00
3079F 123 115 $0.00
3072F 120 117 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 175 171 $0.00
3080F 285 280 $0.00
1101F 260 251 $0.00
3044F 16 15 $0.00
3060F 12 12 $0.00
94760 13 13 $0.00
3014F 15 15 $0.00
3075F 51 50 $0.00
1123F 14 14 $0.00