Physician
Loma Linda Medical Clinic
Loma Linda Medical Clinic was paid $2.13M by Medicaid between May 2020 and Dec 2024, across 51 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 24% of everything it billed.
33Billing provider infoLOMA LINDA MEDICAL CLINIC
RED OAK, TX 75154
RED OAK, TX 75154
33aNPI1093239030assigned 08/01/2017
33bProvider typePediatrics Physician
28Total paid$2.13M
24GClaims90,690
24DCodes billed51
24AFirst – last monthMay 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Texas
Rank by total paid#235 of 1,136
Median peer was paid$329K
This provider vs. median6.5×
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.
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 | |
|---|---|---|---|
| 2020 | 4,910 | $83K | |
| 2021 | 21,514 | $442K | |
| 2022 | 24,755 | $564K | |
| 2023 | 24,377 | $614K | |
| 2024incomplete | 15,134 | $422K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 24% | 9,960 | 8,981 | $511K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 8,373 | 7,770 | $304K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.8% | 2,698 | 2,650 | $209K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.3% | 2,423 | 2,379 | $198K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.2% | 2,211 | 2,172 | $197K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.8% | 15,837 | 7,261 | $165K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.8% | 1,628 | 1,602 | $123K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.9% | 2,397 | 2,128 | $83K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.1% | 5,220 | 4,913 | $66K |
| 92552 | 2.5% | 2,130 | 2,089 | $53K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.2% | 3,551 | 1,714 | $47K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 4,636 | 3,431 | $38K |
39 more codes
| 99383 | 1.2% | 287 | $26K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 350 | $20K |
| 90461 | <1% | 3,626 | $15K | |
| 99381 | <1% | 162 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 452 | $11K |
| 99000 | <1% | 1,150 | $11K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,033 | $10K |
| 99384 | <1% | 78 | $8K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,123 | $6K |
| 96160 | <1% | 3,230 | $5K | |
| 99429 | <1% | 133 | $4K | |
| 99382 | <1% | 41 | $4K | |
| 94150 | <1% | 27 | $371.90 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $171.72 |
| 94760 | <1% | 80 | $49.00 | |
| 90661 | <1% | 65 | $30.80 | |
| 81002 | <1% | 30 | $17.52 | |
| 90677 | <1% | 299 | $2.62 | |
| 90686 | <1% | 3,546 | $2.23 | |
| 90734 | <1% | 898 | $0.48 | |
| 90621 | <1% | 214 | $0.41 | |
| 90651 | <1% | 1,392 | $0.18 | |
| 90715 | <1% | 323 | $0.06 | |
| 90670 | <1% | 1,499 | $0.03 | |
| 90633 | <1% | 1,164 | $0.03 | |
| 90716 | <1% | 944 | $0.02 | |
| 90707 | <1% | 949 | $0.02 | |
| 90680 | 0% | 972 | $0.00 | |
| 90744 | 0% | 345 | $0.00 | |
| 90696 | 0% | 168 | $0.00 | |
| 90698 | 0% | 1,018 | $0.00 | |
| 90723 | 0% | 68 | $0.00 | |
| 90648 | 0% | 612 | $0.00 | |
| 90700 | 0% | 129 | $0.00 | |
| 99173 | 0% | 2,977 | $0.00 | |
| 90710 | 0% | 26 | $0.00 | |
| 90685 | 0% | 33 | $0.00 | |
| 90687 | 0% | 32 | $0.00 | |
| 99072 | 0% | 139 | $0.00 |
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 officialPIANTINI-ALVAREZ, REBECA (M.D.)