Physician
Prohealth Partners, a Medical Group, INC.
Prohealth Partners, a Medical Group, INC. was paid $100K by Medicaid between Jan 2018 and Apr 2024, across 58 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoPROHEALTH PARTNERS, A MEDICAL GROUP, INC.
LONG BEACH, CA 90808
LONG BEACH, CA 90808
33aNPI1215060199assigned 03/13/2007
33bProvider typeOtolaryngology Physician
28Total paid$100K
24GClaims26,498
24DCodes billed58
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Otolaryngology Physician providers in California
Rank by total paid#74 of 168
Median peer was paid$67K
This provider vs. median1.5×
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 | 4,284 | $6K | |
| 2019 | 9,615 | $28K | |
| 2020 | 8,595 | $28K | |
| 2021 | 3,967 | $37K | |
| 2022 | 25 | $23.76 | |
| 2024incomplete | 12 | $61.22 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 34% | 1,939 | 1,890 | $34K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 3,579 | 3,184 | $31K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 20% | 492 | 488 | $20K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 9.1% | 124 | 57 | $9K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.3% | 445 | 388 | $2K |
| 97597 | <1% | 36 | 14 | $892.31 | |
| 90674 | <1% | 81 | 76 | $697.50 | |
| 90686 | <1% | 51 | 50 | $488.06 | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 19 | 19 | $376.96 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 484 | 454 | $350.00 |
| 90756 | <1% | 16 | 16 | $31.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 145 | 137 | $0.00 |
46 more codes
| 3078F | 0% | 1,565 | $0.00 | |
| 4004F | 0% | 216 | $0.00 | |
| 3077F | 0% | 215 | $0.00 | |
| 0521F | 0% | 102 | $0.00 | |
| 1160F | 0% | 873 | $0.00 | |
| 1158F | 0% | 314 | $0.00 | |
| 1159F | 0% | 796 | $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 | 0% | 26 | $0.00 |
| 3028F | 0% | 787 | $0.00 | |
| 96160 | 0% | 24 | $0.00 | |
| 1090F | 0% | 207 | $0.00 | |
| 3288F | 0% | 245 | $0.00 | |
| 81002 | 0% | 156 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 23 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 12 | $0.00 |
| 1003F | 0% | 109 | $0.00 | |
| 2022F | 0% | 13 | $0.00 | |
| 2010F | 0% | 804 | $0.00 | |
| 2000F | 0% | 810 | $0.00 | |
| 1126F | 0% | 613 | $0.00 | |
| 3008F | 0% | 3,556 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 321 | $0.00 |
| 99000 | 0% | 524 | $0.00 | |
| 3074F | 0% | 1,567 | $0.00 | |
| 1000F | 0% | 151 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 1,958 | $0.00 |
| 3017F | 0% | 22 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 130 | $0.00 |
| 1125F | 0% | 65 | $0.00 | |
| 3061F | 0% | 123 | $0.00 | |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 0% | 95 | $0.00 |
| 2001F | 0% | 769 | $0.00 | |
| 82962 | 0% | 381 | $0.00 | |
| 1170F | 0% | 352 | $0.00 | |
| 1036F | 0% | 79 | $0.00 | |
| 3079F | 0% | 123 | $0.00 | |
| 3072F | 0% | 120 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 175 | $0.00 |
| 3080F | 0% | 285 | $0.00 | |
| 1101F | 0% | 260 | $0.00 | |
| 3044F | 0% | 16 | $0.00 | |
| 3060F | 0% | 12 | $0.00 | |
| 94760 | 0% | 13 | $0.00 | |
| 3014F | 0% | 15 | $0.00 | |
| 3075F | 0% | 51 | $0.00 | |
| 1123F | 0% | 14 | $0.00 |
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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.