Physician
Prohealth Partners a Medical Group
Prohealth Partners a Medical Group was paid $5K by Medicaid between Jan 2018 and Jul 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.
33Billing provider infoPROHEALTH PARTNERS A MEDICAL GROUP
LAKEWOOD, CA 90805
LAKEWOOD, CA 90805
33aNPI1609222942assigned 05/05/2016
33bProvider typeFamily Medicine Physician
28Total paid$5K
24GClaims4,929
24DCodes billed23
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#1,494 of 2,511
Median peer was paid$13K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2018 | 1,833 | $1K | |
| 2019 | 1,498 | $3K | |
| 2020 | 448 | $92.92 | |
| 2021 | 822 | $122.56 | |
| 2022 | 54 | $144.16 | |
| 2023 | 133 | $883.59 | |
| 2024incomplete | 141 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 73% | 676 | 583 | $4K |
| 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 | 25% | 104 | 96 | $1K |
| 3008F | 1.1% | 995 | 934 | $53.91 | |
| 3074F | <1% | 653 | 617 | $25.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 207 | 195 | $16.86 |
| 3078F | <1% | 705 | 655 | $8.08 | |
| 1123F | 0% | 118 | 114 | $0.00 | |
| 1126F | 0% | 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) | 0% | 47 | 45 | $0.00 |
| 1125F | 0% | 43 | 41 | $0.00 | |
| 1101F | 0% | 25 | 25 | $0.00 | |
| 1036F | 0% | 74 | 71 | $0.00 |
11 more codes
| 3079F | 0% | 12 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 15 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 94 | $0.00 |
| 1160F | 0% | 179 | $0.00 | |
| 1003F | 0% | 176 | $0.00 | |
| 1033F | 0% | 34 | $0.00 | |
| 96160 | 0% | 157 | $0.00 | |
| 0521F | 0% | 64 | $0.00 | |
| 1158F | 0% | 114 | $0.00 | |
| 90756 | 0% | 12 | $0.00 | |
| 3288F | 0% | 13 | $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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.