Medicaid Provider Spending

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

PROHEALTH PARTNERS A MEDICAL GROUP INC

NPI: 1467584441 · LOS ALAMITOS, CA 90720 · Pediatrics Physician · NPI assigned 03/12/2007

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

Authorized official FERRERA, PETER controls 16+ related entities in our dataset. Read more

$507K
Total Medicaid Paid
7,594
Total Claims
6,358
Beneficiaries
43
Codes Billed
2019-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFERRERA, PETER (PRESIDENT)
NPI Enumeration Date03/12/2007

Related Entities

Other providers sharing the same authorized official: FERRERA, PETER

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 74 $391.83
2020 159 $384.96
2021 256 $2K
2022 95 $2K
2023 1,484 $83K
2024 5,526 $419K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,404 830 $176K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,750 1,644 $123K
93880 598 306 $53K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 180 180 $23K
93229 26 26 $18K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 484 453 $15K
93000 401 389 $15K
93015 78 78 $11K
99233 Prolong inpt eval add15 m 170 41 $10K
99215 Prolong outpt/office vis 60 60 $10K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 589 551 $10K
G9920 Screening performed and negative 472 468 $10K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 22 21 $7K
99255 62 62 $7K
96158 212 208 $5K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 19 19 $3K
99232 Subsequent hospital care, per day, moderate complexity 43 12 $2K
92551 242 241 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 58 54 $1K
93228 41 41 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 14 13 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 25 25 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14 14 $758.24
90686 112 112 $726.75
81000 152 150 $299.69
90460 Immunization administration through 18 years of age via any route, first or only component 33 32 $258.56
90656 18 18 $135.00
90716 13 12 $90.00
96159 26 26 $80.24
1003F 12 12 $50.00
99173 53 53 $45.57
1160F 14 14 $0.00
3078F 26 25 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 14 14 $0.00
1158F 14 14 $0.00
1091F 12 12 $0.00
99349 14 13 $0.00
1036F 13 13 $0.00
1123F 14 14 $0.00
3008F 47 46 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 14 14 $0.00
1101F 15 15 $0.00
3074F 14 13 $0.00