Medicaid Provider Spending

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

PROHEALTH PARTNERS A MEDICAL GROUP

NPI: 1649539206 · TORRANCE, CA 90503 · Interventional Cardiology Physician · NPI assigned 05/16/2012

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

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

$5.41M
Total Medicaid Paid
84,359
Total Claims
38,594
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFERRERA, PETER (PRESIDENT)
NPI Enumeration Date05/16/2012

Related Entities

Other providers sharing the same authorized official: FERRERA, PETER

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 21,931 $995K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 33,699 13,090 $3.06M
99232 Subsequent hospital care, per day, moderate complexity 16,921 5,862 $693K
99233 Prolong inpt eval add15 m 18,275 4,763 $578K
99223 Prolong inpt eval add15 m 5,590 5,443 $465K
99239 Hospital discharge day management, more than 30 minutes 4,354 4,275 $227K
99222 Initial hospital care, per day, moderate complexity 1,459 1,434 $199K
99292 3,242 3,066 $169K
99497 286 219 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 70 70 $3K
99255 38 38 $2K
99238 Hospital discharge day management, 30 minutes or less 64 64 $2K
31500 66 65 $2K
99418 Prolong nursin fac eval 15m 54 39 $2K
36556 26 24 $1K
99231 Subsequent hospital care, per day, straightforward or low complexity 54 12 $1K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 29 29 $950.94
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27 27 $883.04
99221 14 14 $422.04
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 55 27 $266.48
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 22 19 $132.75
3008F 14 14 $0.00