Medicaid Provider Spending

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

PROHEALTH PARTNERS, A MEDICAL GROUP

NPI: 1346373222 · LONG BEACH, CA 90806 · Nephrology Physician · NPI assigned 03/13/2007

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

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

$1.77M
Total Medicaid Paid
24,531
Total Claims
12,292
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialALLSWANG, BARRY (PRESIDENT)
NPI Enumeration Date03/13/2007

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, 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, INC. LONG BEACH CA $299K
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 1,621 $67K
2019 689 $55K
2020 2,492 $142K
2021 4,849 $267K
2022 4,699 $329K
2023 5,231 $488K
2024 4,950 $424K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 5,203 5,184 $892K
99233 Prolong inpt eval add15 m 12,309 3,539 $555K
99232 Subsequent hospital care, per day, moderate complexity 5,596 2,194 $164K
90961 418 418 $81K
99223 Prolong inpt eval add15 m 510 482 $61K
99255 215 207 $14K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 159 156 $6K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 36 31 $464.16
99222 Initial hospital care, per day, moderate complexity 13 13 $270.84
36415 Collection of venous blood by venipuncture 28 28 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44 40 $0.00