Medicaid Provider Spending

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

PROHEALTH PARTNERS A MEDICAL GROUP INC

NPI: 1821429838 · COMPTON, CA 90221 · Family Medicine Physician · NPI assigned 12/02/2013

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

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

$36K
Total Medicaid Paid
15,213
Total Claims
14,737
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-08
Last Month

Provider Details

Authorized OfficialALLSWANG, BARRY (PRESIDENT)
NPI Enumeration Date12/02/2013

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 INC HAWAIIAN GARDENS CA $45K
PROHEALTH PARTNERS, A MEDICAL GROUP LAKEWOOD CA $42K
PROHEALTH PARTNERS A MEDICAL GROUP INC LONG BEACH CA $37K
PROHEALTH PARTNERS, A MEDICAL GROUP LONG BEACH CA $34K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,301 $18K
2019 5,295 $9K
2020 3,230 $3K
2021 2,147 $3K
2022 393 $598.16
2023 449 $711.30
2024 398 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,526 1,452 $15K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,971 2,815 $14K
90686 126 126 $693.99
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 193 191 $544.02
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 106 105 $526.50
86580 132 131 $515.97
85018 718 714 $510.10
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 119 118 $505.31
92551 499 497 $397.98
92081 383 380 $375.67
81002 1,312 1,281 $367.57
36415 Collection of venous blood by venipuncture 2,762 2,640 $341.05
3008F 1,773 1,722 $298.14
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 101 97 $268.89
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 208 207 $258.40
81025 231 230 $218.19
90651 31 31 $117.00
90715 17 17 $66.37
82947 208 206 $65.61
90688 27 26 $60.00
90658 14 14 $60.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 41 41 $34.46
3074F 375 373 $23.49
1036F 270 265 $21.83
G8510 Screening for depression is documented as negative, a follow-up plan is not required 94 94 $20.87
3077F 116 116 $20.87
90734 20 20 $18.00
3079F 148 146 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 42 40 $0.00
3044F 111 111 $0.00
3075F 27 26 $0.00
3080F 12 12 $0.00
99441 99 98 $0.00
3048F 37 37 $0.00
81000 12 12 $0.00
3078F 294 290 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 12 12 $0.00
90687 14 14 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 14 12 $0.00
99442 18 18 $0.00