Faculty Physicians and Surgeons of Llusm
Faculty Physicians and Surgeons of Llusm was paid $631K by Medicaid between Jan 2018 and Oct 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 14% of everything it billed.
LOMA LINDA, CA 92354
Next to other Maternal & Fetal Medicine Physician providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,562 | $399K | |
| 2019 | 2,315 | $115K | |
| 2020 | 573 | $45K | |
| 2021 | 230 | $7K | |
| 2022 | 210 | $19K | |
| 2023 | 220 | $15K | |
| 2024incomplete | 386 | $30K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 1,768 | 1,615 | $91K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 13% | 1,090 | 901 | $84K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 11% | 95 | 95 | $70K |
| Z1034 | 9.9% | 1,442 | 1,171 | $63K | |
| 59025 | Fetal non-stress test | 8.2% | 2,462 | 1,730 | $52K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 7.2% | 1,389 | 831 | $45K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 6.4% | 1,159 | 1,108 | $40K |
| 76813 | 6.1% | 770 | 573 | $38K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.0% | 314 | 283 | $38K |
| 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 | 2.4% | 228 | 211 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 448 | 396 | $14K |
| 99221 | 2.1% | 196 | 189 | $13K |
14 more codes
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 2.0% | 157 | $12K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.9% | 213 | $12K |
| 99203 | Doctor's office visit, new patient (routine) | 1.3% | 91 | $8K |
| Z1032 | 1.0% | 70 | $6K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 139 | $6K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 54 | $4K |
| 99284 | Emergency room visit (serious) | <1% | 39 | $4K |
| 99234 | <1% | 28 | $4K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 61 | $4K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 92 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 105 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 38 | $2K |
| 99283 | Emergency room visit (moderate) | <1% | 13 | $729.69 |
| 81002 | <1% | 35 | $105.51 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.