Physician
Prohealth Partners a Medical Group INC
Prohealth Partners a Medical Group INC was paid $23K by Medicaid between Jun 2018 and Oct 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 22% of everything it billed.
33Billing provider infoPROHEALTH PARTNERS A MEDICAL GROUP INC
LAKEWOOD, CA 90712
LAKEWOOD, CA 90712
33aNPI1619009677assigned 03/12/2007
33bProvider typeGastroenterology Physician
28Total paid$23K
24GClaims3,562
24DCodes billed28
24AFirst – last monthJun 2018 – Oct 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#218 of 363
Median peer was paid$55K
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 | 344 | $375.00 | |
| 2019 | 661 | $8K | |
| 2020 | 352 | $5K | |
| 2021 | 192 | $220.90 | |
| 2022 | 230 | $375.00 | |
| 2023 | 1,025 | $4K | |
| 2024incomplete | 758 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 22% | 695 | 677 | $5K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 19% | 25 | 24 | $4K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 16% | 137 | 39 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 628 | 590 | $3K |
| 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 | 12% | 148 | 148 | $3K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 9.8% | 408 | 364 | $2K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.2% | 32 | 12 | $1K |
| 93000 | 3.0% | 14 | 14 | $683.20 | |
| 1036F | <1% | 14 | 13 | $212.80 | |
| 1111F | <1% | 14 | 13 | $106.40 | |
| 1159F | <1% | 38 | 37 | $68.90 | |
| 3074F | 0% | 45 | 39 | $0.00 |
16 more codes
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 427 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 403 | $0.00 |
| 1101F | 0% | 12 | $0.00 | |
| 96156 | 0% | 114 | $0.00 | |
| 3008F | 0% | 129 | $0.00 | |
| G9275 | Documentation that patient is a current non-tobacco user | 0% | 55 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 14 | $0.00 |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 0% | 13 | $0.00 |
| 0521F | 0% | 16 | $0.00 | |
| 99152 | 0% | 15 | $0.00 | |
| 3078F | 0% | 53 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 13 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 57 | $0.00 |
| 1003F | 0% | 16 | $0.00 | |
| 96160 | 0% | 14 | $0.00 | |
| 1160F | 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 | 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.