Physician
Prohealth Partners a Medical Group INC
Prohealth Partners a Medical Group INC was paid $507K by Medicaid between Apr 2019 and Nov 2024, across 43 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 35% of everything it billed.
33Billing provider infoPROHEALTH PARTNERS A MEDICAL GROUP INC
LOS ALAMITOS, CA 90720
LOS ALAMITOS, CA 90720
33aNPI1467584441assigned 03/12/2007
33bProvider typePediatrics Physician
28Total paid$507K
24GClaims7,594
24DCodes billed43
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#223 of 1,490
Median peer was paid$15K
This provider vs. median34×
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 | |
|---|---|---|---|
| 2019 | 74 | $391.83 | |
| 2020 | 159 | $384.96 | |
| 2021 | 256 | $2K | |
| 2022 | 95 | $2K | |
| 2023 | 1,484 | $83K | |
| 2024incomplete | 5,526 | $419K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 35% | 1,404 | 830 | $176K |
| 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 | 24% | 1,750 | 1,644 | $123K |
| 93880 | 10% | 598 | 306 | $53K | |
| 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 | 4.5% | 180 | 180 | $23K |
| 93229 | 3.5% | 26 | 26 | $18K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 484 | 453 | $15K |
| 93000 | 2.9% | 401 | 389 | $15K | |
| 93015 | 2.2% | 78 | 78 | $11K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.1% | 170 | 41 | $10K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 60 | 60 | $10K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.0% | 589 | 551 | $10K |
| G9920 | Screening performed and negative | 1.9% | 472 | 468 | $10K |
31 more codes
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 1.5% | 22 | $7K |
| 99255 | 1.4% | 62 | $7K | |
| 96158 | <1% | 212 | $5K | |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | <1% | 19 | $3K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 43 | $2K |
| 92551 | <1% | 242 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 58 | $1K |
| 93228 | <1% | 41 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 14 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 25 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 14 | $758.24 |
| 90686 | <1% | 112 | $726.75 | |
| 81000 | <1% | 152 | $299.69 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 33 | $258.56 |
| 90656 | <1% | 18 | $135.00 | |
| 90716 | <1% | 13 | $90.00 | |
| 96159 | <1% | 26 | $80.24 | |
| 1003F | <1% | 12 | $50.00 | |
| 99173 | <1% | 53 | $45.57 | |
| 1160F | 0% | 14 | $0.00 | |
| 3078F | 0% | 26 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 14 | $0.00 |
| 1158F | 0% | 14 | $0.00 | |
| 1091F | 0% | 12 | $0.00 | |
| 99349 | 0% | 14 | $0.00 | |
| 1036F | 0% | 13 | $0.00 | |
| 1123F | 0% | 14 | $0.00 | |
| 3008F | 0% | 47 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 14 | $0.00 |
| 1101F | 0% | 15 | $0.00 | |
| 3074F | 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 | 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. | Long Beach, CA | $100K |
| 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.