Medicaid Provider Spending

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

PROHEALTH PARTNERS A MEDICAL GROUP INC

NPI: 1730519927 · HAWAIIAN GARDENS, CA 90716 · Family Medicine Physician · NPI assigned 11/25/2013

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

Authorized official ALLSWANG, BARRY controls 20+ related entities in our dataset. Read more

$45K
Total Medicaid Paid
14,756
Total Claims
14,108
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialALLSWANG, BARRY (PRESIDENT)
NPI Enumeration Date11/25/2013

Related Entities

Other providers sharing the same authorized official: ALLSWANG, BARRY

ProviderCityStateTotal Paid
PROHEALTH PARTNERS, A MEDICAL GROUP, INC. LAKEWOOD CA $4.01M
PROHEALTH PARTNERS A MEDICAL GROUP INC UPLAND CA $3.08M
PROHEALTH PARTNERS A MEDICAL GROUP TORRANCE CA $2.17M
PROHEALTH PARTNERS, A MEDICAL GROUP LONG BEACH CA $1.77M
PROHEALTH PARTNERS, A MEDICAL GROUP, INC. LONG BEACH CA $728K
PROHEALTH PARTNERS A MEDICAL GROUP LOS ALAMITOS CA $446K
PROHEALTH PARTNERS A MEDICAL GROUP LAKEWOOD CA $445K
PROHEALTH PARTNERS A MEDICAL GROUP LONG BEACH CA $301K
PROHEALTH PARTNERS, A MEDICAL GROUP, INC. LONG BEACH CA $299K
PROHEALTH PARTNERS A MEDICAL GROUP LONG BEACH CA $197K
PROHEALTH PARTNERS, A MEDICAL GROUP LAKEWOOD CA $139K
PROHEALTH PARTNERS A MEDICAL GROUP INC LAKEWOOD CA $137K
PROHEALTH PARTNERS A MEDICAL GROUP LOS ANGELES CA $83K
PROHEALTH PARTNERS A MEDICAL GROUP GARDEN GROVE CA $82K
PROHEALTH PARTNERS, A MEDICAL GROUP, INC. LONG BEACH CA $80K
PROHEALTH PARTNERS A MEDICAL GROUP INC IRVINE CA $51K
PROHEALTH PARTNERS, A MEDICAL GROUP LAKEWOOD CA $42K
PROHEALTH PARTNERS A MEDICAL GROUP INC LONG BEACH CA $37K
PROHEALTH PARTNERS A MEDICAL GROUP INC COMPTON CA $36K
PROHEALTH PARTNERS, A MEDICAL GROUP LONG BEACH CA $34K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,774 $24K
2019 5,231 $12K
2020 3,372 $4K
2021 1,737 $3K
2022 522 $953.41
2023 310 $725.10
2024 810 $696.79

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,110 2,884 $21K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,471 1,381 $18K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 39 39 $1K
86580 209 208 $829.36
81002 845 824 $625.85
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 142 140 $569.67
90686 190 190 $531.12
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 296 291 $409.26
3008F 1,712 1,610 $405.58
81025 291 287 $405.51
92551 393 391 $273.84
85018 690 687 $244.22
92081 298 298 $230.44
36415 Collection of venous blood by venipuncture 2,492 2,348 $195.88
3074F 563 550 $167.40
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 41 41 $152.71
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 136 132 $142.33
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 44 42 $100.50
1036F 448 442 $77.64
90688 12 12 $77.38
90658 13 13 $74.00
99000 15 14 $53.01
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 29 29 $50.03
3049F 12 12 $46.98
3080F 70 67 $23.49
81000 13 13 $5.42
G8510 Screening for depression is documented as negative, a follow-up plan is not required 99 99 $0.02
3077F 45 42 $0.00
99442 112 111 $0.00
3078F 262 257 $0.00
90687 12 12 $0.00
82947 13 13 $0.00
3079F 169 167 $0.00
99441 166 161 $0.00
3044F 258 255 $0.00
3048F 32 32 $0.00
3075F 14 14 $0.00