Medicaid Provider Spending

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

PROHEALTH PARTNERS, A MEDICAL GROUP, INC.

NPI: 1598898462 · LONG BEACH, CA 90804 · Obesity Medicine (Internal Medicine) 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

$728K
Total Medicaid Paid
21,115
Total Claims
14,174
Beneficiaries
41
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialALLSWANG, BARRY (COO)
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 LONG BEACH CA $1.77M
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 1,095 $66K
2019 1,897 $92K
2020 3,251 $141K
2021 4,909 $140K
2022 3,243 $110K
2023 3,886 $128K
2024 2,834 $52K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,341 3,025 $190K
99232 Subsequent hospital care, per day, moderate complexity 3,539 939 $109K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,871 1,788 $107K
99223 Prolong inpt eval add15 m 1,282 1,223 $82K
99233 Prolong inpt eval add15 m 4,123 834 $82K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 205 202 $35K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 491 463 $34K
99238 Hospital discharge day management, 30 minutes or less 797 768 $19K
99215 Prolong outpt/office vis 208 203 $16K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,644 1,417 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 176 176 $11K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 46 46 $4K
93000 146 146 $4K
92551 284 284 $3K
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) 142 139 $3K
G9920 Screening performed and negative 93 93 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 26 13 $3K
96159 114 114 $2K
90686 164 155 $1K
99205 Prolong outpt/office vis 13 13 $1K
99173 174 174 $861.80
81000 178 178 $509.99
99000 83 79 $235.95
36415 Collection of venous blood by venipuncture 544 455 $65.00
81002 61 56 $45.15
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 20 12 $30.48
82962 54 49 $22.00
3008F 714 654 $0.31
G8510 Screening for depression is documented as negative, a follow-up plan is not required 25 18 $0.11
3078F 126 102 $0.00
3288F 28 19 $0.00
1158F 18 13 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 13 13 $0.00
3077F 77 76 $0.00
1159F 17 12 $0.00
1090F 23 16 $0.00
1160F 17 12 $0.00
3074F 145 121 $0.00
3080F 45 40 $0.00
1101F 30 21 $0.00
1157F 18 13 $0.00