Medicaid Provider Spending

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

PROHEALTH PARTNERS A MEDICAL GROUP INC

NPI: 1811020639 · LOS ALAMITOS, CA 90720 · Internal Medicine Physician · NPI assigned 03/13/2007

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

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

$1.55M
Total Medicaid Paid
34,796
Total Claims
25,647
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFERRERA, PETER (PRESIDENT)
NPI Enumeration Date03/13/2007

Related Entities

Other providers sharing the same authorized official: FERRERA, PETER

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 5,830 $143K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99223 Prolong inpt eval add15 m 11,856 11,622 $639K
99232 Subsequent hospital care, per day, moderate complexity 9,837 3,016 $172K
77067 Screening mammography, bilateral, including computer-aided detection 2,720 2,716 $171K
99215 Prolong outpt/office vis 1,838 1,800 $136K
99205 Prolong outpt/office vis 777 777 $85K
99233 Prolong inpt eval add15 m 1,733 523 $68K
99255 638 623 $51K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 332 329 $45K
96112 286 286 $36K
76801 516 489 $35K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 398 387 $23K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,922 1,710 $21K
76813 192 192 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 398 209 $15K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 185 93 $11K
99231 Subsequent hospital care, per day, straightforward or low complexity 816 526 $10K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 100 99 $8K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 166 166 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 33 33 $2K
93000 39 38 $823.89
99308 Subsequent nursing facility care, per day, straightforward 14 13 $66.00