Medicaid Provider Spending

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

PROHEALTH PARTNERS A MEDICAL GROUP

NPI: 1609222942 · LAKEWOOD, CA 90805 · Family Medicine Physician · NPI assigned 05/05/2016

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

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

$5K
Total Medicaid Paid
4,929
Total Claims
4,616
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialFERRERA, PETER (PRESIDENT)
NPI Enumeration Date05/05/2016

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 LOS ALAMITOS CA $507K
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 INC LONG BEACH CA $1K
PROHEALTH PARTNERS A MEDICAL GROUP INC LONG BEACH CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,833 $1K
2019 1,498 $3K
2020 448 $92.92
2021 822 $122.56
2022 54 $144.16
2023 133 $883.59
2024 141 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 676 583 $4K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 104 96 $1K
3008F 995 934 $53.91
3074F 653 617 $25.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 207 195 $16.86
3078F 705 655 $8.08
1123F 118 114 $0.00
1126F 412 400 $0.00
S0257 Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) 47 45 $0.00
1125F 43 41 $0.00
1101F 25 25 $0.00
1036F 74 71 $0.00
3079F 12 12 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 15 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 94 91 $0.00
1160F 179 171 $0.00
1003F 176 170 $0.00
1033F 34 34 $0.00
96160 157 149 $0.00
0521F 64 63 $0.00
1158F 114 110 $0.00
90756 12 12 $0.00
3288F 13 13 $0.00