Physician
Prohealth Partners a Medical Group INC
Prohealth Partners a Medical Group INC was paid $1.55M by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 41% of everything it billed.
33Billing provider infoPROHEALTH PARTNERS A MEDICAL GROUP INC
LOS ALAMITOS, CA 90720
LOS ALAMITOS, CA 90720
33aNPI1811020639assigned 03/13/2007
33bProvider typeInternal Medicine Physician
28Total paid$1.55M
24GClaims34,796
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#100 of 2,679
Median peer was paid$13K
This provider vs. median123×
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 | 3,168 | $135K | |
| 2019 | 4,369 | $201K | |
| 2020 | 6,227 | $351K | |
| 2021 | 3,971 | $208K | |
| 2022 | 4,843 | $235K | |
| 2023 | 6,388 | $284K | |
| 2024incomplete | 5,830 | $143K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 41% | 11,856 | 11,622 | $639K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 9,837 | 3,016 | $172K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 11% | 2,720 | 2,716 | $171K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.8% | 1,838 | 1,800 | $136K |
| 99205 | Prolong outpt/office vis | 5.5% | 777 | 777 | $85K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.4% | 1,733 | 523 | $68K |
| 99255 | 3.3% | 638 | 623 | $51K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 2.9% | 332 | 329 | $45K |
| 96112 | 2.3% | 286 | 286 | $36K | |
| 76801 | 2.3% | 516 | 489 | $35K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.5% | 398 | 387 | $23K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.3% | 1,922 | 1,710 | $21K |
9 more codes
| 76813 | 1.2% | 192 | $19K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 398 | $15K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 185 | $11K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 816 | $10K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 100 | $8K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 166 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 33 | $2K |
| 93000 | <1% | 39 | $823.89 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 14 | $66.00 |
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 | $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.