Medicaid Provider Spending

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

PROHEALTH PARTNERS A MEDICAL GROUP INC

NPI: 1376905406 · UPLAND, CA 91786 · Cardiovascular Disease Physician · NPI assigned 03/28/2016

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

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

$3.08M
Total Medicaid Paid
47,980
Total Claims
45,130
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialALLSWANG, BARRY (PRESIDENT)
NPI Enumeration Date03/28/2016

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 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, 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 1,750 $24K
2019 2,203 $96K
2020 4,097 $261K
2021 6,354 $479K
2022 7,965 $584K
2023 13,095 $808K
2024 12,516 $828K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 9,089 8,916 $1.21M
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 3,183 3,166 $563K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,756 9,606 $287K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 1,220 1,217 $205K
93229 279 278 $159K
93000 4,446 4,403 $102K
99215 Prolong outpt/office vis 2,206 2,123 $91K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,447 1,447 $90K
99233 Prolong inpt eval add15 m 2,200 973 $71K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 7,827 6,744 $70K
93015 506 505 $44K
J2785 Injection, regadenoson, 0.1 mg 393 392 $42K
93017 856 853 $41K
93018 1,319 1,317 $23K
93016 985 981 $22K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 883 875 $13K
93224 108 105 $11K
99205 Prolong outpt/office vis 152 152 $10K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 416 411 $7K
93228 287 286 $5K
93356 94 94 $3K
99223 Prolong inpt eval add15 m 66 62 $3K
99232 Subsequent hospital care, per day, moderate complexity 93 58 $2K
93458 13 12 $2K
93268 13 13 $2K
99152 39 39 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 14 14 $18.68
G8754 Most recent diastolic blood pressure < 90 mmhg 45 44 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 45 44 $0.00