Medicaid Provider Spending

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

PROHEALTH PARTNERS, A MEDICAL GROUP, INC.

NPI: 1447383310 · LAKEWOOD, CA 90712 · Cardiovascular Disease 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

$4.01M
Total Medicaid Paid
80,376
Total Claims
70,957
Beneficiaries
59
Codes Billed
2018-01
First Month
2024-12
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 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, 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 2,283 $67K
2019 5,860 $264K
2020 7,041 $388K
2021 8,946 $559K
2022 14,155 $964K
2023 21,082 $1.08M
2024 21,009 $689K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
77067 Screening mammography, bilateral, including computer-aided detection 13,709 13,699 $1.12M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,656 10,554 $674K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,323 1,063 $348K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 2,427 2,416 $266K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 3,876 3,789 $239K
76801 4,005 3,749 $212K
99223 Prolong inpt eval add15 m 3,304 3,249 $196K
99232 Subsequent hospital care, per day, moderate complexity 6,611 2,892 $141K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,175 1,173 $120K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 11,115 9,440 $102K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,713 2,557 $98K
99233 Prolong inpt eval add15 m 3,120 1,368 $97K
76813 751 744 $59K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,326 1,312 $55K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 636 634 $53K
99238 Hospital discharge day management, 30 minutes or less 1,525 1,493 $40K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 660 651 $24K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 75 75 $22K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 147 145 $22K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 494 488 $20K
99222 Initial hospital care, per day, moderate complexity 347 336 $19K
99215 Prolong outpt/office vis 301 297 $16K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 39 39 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 464 342 $11K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 440 440 $11K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 118 116 $6K
95251 191 189 $5K
96156 970 970 $4K
99239 Hospital discharge day management, more than 30 minutes 95 94 $4K
97597 83 50 $3K
90688 149 149 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 55 39 $2K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 29 25 $2K
99205 Prolong outpt/office vis 15 15 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 154 154 $1K
73562 45 38 $1K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,008 1,993 $716.72
73030 12 12 $383.12
G8754 Most recent diastolic blood pressure < 90 mmhg 152 139 $376.11
G8752 Most recent systolic blood pressure < 140 mmhg 176 165 $375.76
99231 Subsequent hospital care, per day, straightforward or low complexity 14 13 $245.34
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 388 388 $193.37
3074F 388 387 $111.39
3079F 376 374 $108.42
3075F 269 269 $74.26
93000 14 14 $49.42
3078F 370 370 $37.14
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 373 366 $0.16
3008F 118 117 $0.00
G9275 Documentation that patient is a current non-tobacco user 826 825 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 218 218 $0.00
3080F 161 159 $0.00
99385 12 12 $0.00
92551 12 12 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 12 12 $0.00
36415 Collection of venous blood by venipuncture 38 38 $0.00
3077F 253 248 $0.00
99442 28 27 $0.00
99173 15 15 $0.00