Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Redlands › NPI 1235189911
Physician

Faculty Physicians and Surgeons of Llusm

Faculty Physicians and Surgeons of Llusm was paid $21.38M by Medicaid between Jan 2018 and Nov 2024, across 320 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 14% of everything it billed.

33Billing provider infoFACULTY PHYSICIANS AND SURGEONS OF LLUSM
REDLANDS, CA 92373
33aNPI1235189911assigned 05/11/2006
33bProvider typePediatrics Physician
28Total paid$21.38M
24GClaims360,135
24DCodes billed320
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#11 of 1,490
Median peer was paid$15K
This provider vs. median1,426×

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 PEVERINI, RICARDO controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M2018201920202021202220232024
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
YearClaimsPaid
20183,657$18K
20192,790$5K
20203,384$9K
20215,831$17K
20223,225$10K
202374,139$4.64M
2024incomplete267,109$16.68M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 14% 37,647 36,899 $2.97M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 8.9% 12,415 12,362 $1.90M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 5.9% 10,638 10,573 $1.27M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.2% 20,606 20,203 $1.11M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 4.0% 6,583 6,105 $846K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.7% 9,221 4,176 $782K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.3% 11,516 5,616 $700K
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 3.0% 4,763 4,753 $641K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3.0% 11,874 11,787 $634K
J0585 Injection, onabotulinumtoxina, 1 unit 2.6% 1,136 573 $550K
88305 Level IV - Surgical pathology, gross and microscopic examination 2.4% 7,717 7,609 $508K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2.1% 2,911 1,216 $456K
308 more codes
99223 Prolong inpt eval add15 m 2.0% 3,171 $422K
74177 Computed tomography, abdomen and pelvis; with contrast material 1.9% 5,448 $399K
99203 Doctor's office visit, new patient (routine) 1.7% 3,565 $365K
67113 1.6% 421 $347K
77067 Screening mammography, bilateral, including computer-aided detection 1.3% 4,605 $285K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1.2% 1,118 $249K
70450 Computed tomography, head or brain; without contrast material 1.1% 7,130 $229K
88307 1.0% 2,465 $224K
99222 Initial hospital care, per day, moderate complexity <1% 2,242 $207K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 253 $204K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 1,779 $191K
99283 Emergency room visit (moderate) <1% 2,520 $182K
92134 <1% 6,802 $181K
67028 Intravitreal injection of a pharmacologic agent <1% 1,844 $163K
71045 Radiologic examination, chest; single view <1% 23,863 $159K
99239 Hospital discharge day management, more than 30 minutes <1% 1,734 $158K
31231 <1% 976 $157K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 1,659 $156K
78815 Positron emission tomography (PET) for limited area imaging <1% 810 $150K
54360 <1% 200 $141K
J0475 Injection, baclofen, 10 mg <1% 128 $138K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 304 $120K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 16,661 $113K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 351 $107K
71046 Radiologic examination, chest; 2 views <1% 10,090 $106K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,101 $105K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 1,051 $103K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 1,767 $93K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 2,796 $87K
99238 Hospital discharge day management, 30 minutes or less <1% 1,344 $85K
67228 <1% 278 $83K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 890 $79K
76642 <1% 1,875 $78K
76830 Ultrasound, transvaginal <1% 1,298 $77K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,955 $72K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 1,562 $72K
31579 <1% 465 $69K
59025 Fetal non-stress test <1% 2,230 $65K
14040 <1% 196 $63K
64615 <1% 530 $62K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 929 $60K
76770 <1% 1,370 $57K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 351 $52K
95720 <1% 306 $52K
99460 <1% 791 $52K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 471 $51K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 645 $51K
71275 Computed tomographic angiography, chest, with contrast material <1% 749 $50K
92557 <1% 1,667 $50K
77066 Tomosynthesis, mammo <1% 764 $50K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk <1% 288 $48K
99205 Prolong outpt/office vis <1% 225 $47K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 1,425 $45K
77427 <1% 261 $45K
70551 Magnetic resonance imaging, brain; without contrast material <1% 647 $44K
73221 <1% 512 $42K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 558 $42K
71250 <1% 934 $42K
92567 <1% 2,623 $36K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 96 $35K
99221 <1% 538 $34K
74018 <1% 4,424 $33K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 691 $32K
70498 <1% 473 $32K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 470 $31K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 712 $30K
77063 Screening digital breast tomosynthesis, bilateral <1% 1,045 $29K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 2,424 $29K
88304 <1% 2,320 $29K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 163 $28K
76536 <1% 474 $28K
57288 <1% 48 $27K
69210 <1% 621 $27K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 512 $27K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 130 $27K
J0178 Injection, aflibercept, 1 mg <1% 24 $27K
54161 <1% 227 $26K
92524 <1% 271 $26K
72125 Computed tomography, cervical spine; without contrast material <1% 662 $25K
95806 <1% 615 $25K
92235 <1% 346 $24K
92083 <1% 634 $24K
J9035 Injection, bevacizumab, 10 mg <1% 322 $23K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 573 $23K
77065 Tomosynthesis, mammo <1% 408 $21K
93000 <1% 1,846 $20K
93970 <1% 777 $20K
95811 <1% 187 $20K
73630 <1% 2,434 $19K
73562 <1% 2,037 $19K
70496 <1% 267 $18K
92551 <1% 1,624 $18K
77080 <1% 1,072 $18K
00170 Anesthesia for intraoral procedures, including biopsy <1% 132 $17K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 630 $17K
92250 <1% 632 $16K
92060 <1% 253 $16K
92587 <1% 748 $16K
92579 <1% 359 $16K
92504 <1% 795 $16K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 399 $15K
43235 <1% 158 $15K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 134 $15K
73610 <1% 1,719 $15K
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy <1% 794 $15K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 214 $14K
59514 <1% 16 $14K
99153 Mod sedat endo service >5yrs <1% 957 $14K
77300 <1% 62 $14K
76813 <1% 224 $13K
96158 <1% 312 $13K
73030 <1% 1,426 $13K
72141 <1% 204 $13K
73560 <1% 1,665 $13K
93296 <1% 835 $13K
73110 <1% 1,279 $13K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) <1% 2,399 $12K
01961 <1% 40 $12K
88342 <1% 356 $12K
72100 <1% 1,106 $11K
73130 <1% 1,290 $11K
76641 <1% 102 $11K
99447 <1% 316 $11K
93351 <1% 151 $10K
76376 <1% 1,400 $10K
49083 <1% 121 $10K
99183 <1% 102 $9K
93320 <1% 606 $9K
43259 <1% 66 $9K
76801 <1% 181 $9K
76882 <1% 189 $8K
90935 Hemodialysis procedure with single evaluation by a physician <1% 169 $8K
00145 <1% 84 $8K
93880 <1% 278 $8K
77334 <1% 25 $8K
92582 <1% 85 $8K
88341 <1% 86 $8K
62369 <1% 90 $7K
77089 <1% 293 $7K
44970 <1% 12 $7K
96159 <1% 276 $7K
20610 <1% 190 $7K
77263 <1% 48 $7K
73564 <1% 297 $7K
00920 <1% 69 $7K
93295 <1% 288 $7K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 26 $7K
95718 <1% 49 $7K
70220 <1% 157 $6K
88312 <1% 222 $6K
93228 <1% 296 $6K
46600 <1% 146 $6K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 754 $6K
94010 <1% 196 $6K
17110 <1% 62 $6K
93298 <1% 101 $6K
73590 <1% 660 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 180 $5K
00537 <1% 14 $5K
93971 <1% 301 $5K
92133 <1% 251 $5K
77295 <1% 18 $5K
73502 <1% 268 $4K
92015 Determination of refractive state <1% 344 $4K
92136 <1% 158 $4K
74183 <1% 49 $4K
99462 <1% 113 $4K
93244 <1% 179 $4K
99152 <1% 410 $4K
95117 <1% 312 $4K
94060 <1% 462 $4K
73080 <1% 326 $4K
95886 <1% 66 $4K
00731 <1% 49 $4K
77290 <1% 27 $3K
G9920 Screening performed and negative <1% 1,671 $3K
64405 <1% 57 $3K
93923 <1% 213 $3K
88108 <1% 159 $3K
90961 <1% 12 $3K
75561 <1% 13 $3K
77011 <1% 15 $3K
73565 <1% 416 $3K
59430 <1% 16 $3K
43244 <1% 13 $3K
92556 <1% 62 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 56 $3K
88173 <1% 30 $3K
93325 <1% 921 $3K
95816 <1% 53 $3K
73090 <1% 209 $3K
51798 <1% 358 $3K
74174 <1% 28 $3K
91010 <1% 46 $3K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) <1% 40 $3K
92526 <1% 35 $3K
76937 <1% 223 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 661 $2K
72131 <1% 57 $2K
70486 <1% 56 $2K
73552 <1% 268 $2K
72170 <1% 310 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 12 $2K
S0265 Genetic counseling, under physician supervision, each 15 minutes <1% 32 $2K
93283 <1% 58 $2K
72197 <1% 25 $2K
72040 <1% 185 $2K
73620 <1% 265 $2K
88112 <1% 84 $2K
94664 <1% 152 $2K
94729 <1% 283 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 228 $2K
74328 <1% 89 $2K
95819 <1% 27 $2K
99292 <1% 28 $2K
73120 <1% 178 $1K
96156 <1% 16 $1K
99443 <1% 13 $1K
93356 <1% 137 $1K
90686 <1% 1,744 $1K
99308 Subsequent nursing facility care, per day, straightforward <1% 58 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 119 $1K
73020 <1% 180 $1K
77001 <1% 86 $1K
11102 <1% 25 $1K
91037 <1% 27 $1K
31575 <1% 12 $1K
73501 <1% 133 $1K
93016 <1% 59 $999.93
77092 <1% 139 $997.39
72082 <1% 12 $962.40
93280 <1% 48 $962.10
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 25 $927.18
96116 <1% 12 $906.92
72072 <1% 86 $905.28
94618 <1% 45 $883.81
88321 <1% 12 $873.08
88331 <1% 13 $840.16
93282 <1% 27 $813.56
92555 <1% 25 $787.67
93227 <1% 49 $787.25
00126 <1% 13 $772.73
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 379 $739.96
93294 <1% 39 $709.06
90648 <1% 239 $700.74
90723 <1% 165 $663.39
93018 <1% 59 $659.75
70491 <1% 12 $640.90
72110 <1% 12 $582.28
73700 <1% 15 $578.46
99451 <1% 19 $569.62
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 164 $557.10
76819 Fetal biophysical profile; without non-stress testing <1% 14 $524.83
94726 <1% 57 $523.59
81002 <1% 315 $507.25
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 77 $501.56
92588 <1% 14 $495.40
93248 <1% 17 $474.81
73140 <1% 73 $451.20
90670 <1% 162 $450.00
88300 <1% 118 $430.97
78264 <1% 13 $424.01
36620 <1% 12 $423.06
92025 <1% 12 $404.46
95885 <1% 12 $364.44
93926 <1% 13 $352.07
93272 <1% 15 $349.89
76942 <1% 12 $341.66
93289 <1% 14 $317.59
77075 <1% 12 $299.38
93308 <1% 17 $280.36
90656 <1% 28 $265.35
95251 <1% 13 $261.71
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care <1% 59 $214.63
72050 <1% 17 $199.74
73070 <1% 21 $146.68
83655 <1% 14 $137.79
90734 <1% 39 $117.00
90677 <1% 13 $115.65
85018 <1% 107 $100.42
51741 <1% 12 $96.71
96127 <1% 713 $91.27
73060 <1% 13 $83.54
90680 <1% 26 $72.00
90633 <1% 15 $27.00
90651 <1% 82 $18.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 84 $5.19
96161 <1% 1,569 $3.25
99173 0% 1,985 $0.00
90461 0% 86 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 345 $0.00
3078F 0% 1,513 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 56 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 107 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 108 $0.00
96160 0% 13 $0.00
G8482 Influenza immunization administered or previously received 0% 56 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 20 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 5,692 $0.00
3074F 0% 1,335 $0.00
1036F 0% 484 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 160 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 0% 44 $0.00
3072F 0% 56 $0.00
3079F 0% 24 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 0% 14 $0.00
G0008 Administration of influenza virus vaccine 0% 12 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 14 $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

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Authorized officialPEVERINI, RICARDO (PRESIDENT)
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