Physician
Prohealth Partners a Medical Group
Prohealth Partners a Medical Group was paid $5.41M by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 56% of everything it billed.
33Billing provider infoPROHEALTH PARTNERS A MEDICAL GROUP
TORRANCE, CA 90503
TORRANCE, CA 90503
33aNPI1649539206assigned 05/16/2012
33bProvider typeInterventional Cardiology Physician
28Total paid$5.41M
24GClaims84,359
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Interventional Cardiology Physician providers in California
Rank by total paid#4 of 125
Median peer was paid$32K
This provider vs. median170×
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 | 3,513 | $173K | |
| 2019 | 6,309 | $503K | |
| 2020 | 11,535 | $880K | |
| 2021 | 12,796 | $944K | |
| 2022 | 12,139 | $929K | |
| 2023 | 16,136 | $986K | |
| 2024incomplete | 21,931 | $995K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 56% | 33,699 | 13,090 | $3.06M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 13% | 16,921 | 5,862 | $693K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 11% | 18,275 | 4,763 | $578K |
| 99223 | Prolong inpt eval add15 m | 8.6% | 5,590 | 5,443 | $465K |
| 99239 | Hospital discharge day management, more than 30 minutes | 4.2% | 4,354 | 4,275 | $227K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.7% | 1,459 | 1,434 | $199K |
| 99292 | 3.1% | 3,242 | 3,066 | $169K | |
| 99497 | <1% | 286 | 219 | $9K | |
| 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 | <1% | 70 | 70 | $3K |
| 99255 | <1% | 38 | 38 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 64 | 64 | $2K |
| 31500 | <1% | 66 | 65 | $2K |
9 more codes
| 99418 | Prolong nursin fac eval 15m | <1% | 54 | $2K |
| 36556 | <1% | 26 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 54 | $1K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 29 | $950.94 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 27 | $883.04 |
| 99221 | <1% | 14 | $422.04 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 55 | $266.48 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 22 | $132.75 |
| 3008F | 0% | 14 | $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 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 | 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.