Medicaid Provider Spending

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

FACULTY PHYSICIANS AND SURGEONS OF LLUSM

NPI: 1235189911 · REDLANDS, CA 92373 · Pediatrics Physician · NPI assigned 05/11/2006

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

Authorized official PEVERINI, RICARDO controls 20+ related entities in our dataset. Read more

$21.38M
Total Medicaid Paid
360,135
Total Claims
330,572
Beneficiaries
320
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPEVERINI, RICARDO (PRESIDENT)
NPI Enumeration Date05/11/2006

Related Entities

Other providers sharing the same authorized official: PEVERINI, RICARDO

ProviderCityStateTotal Paid
FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA $66.40M
FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA $54.91M
FACULTY PHYSICIANS AND SURGEONS OF LLUSM SAN BERNARDINO CA $4.53M
FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA $3.99M
FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA $3.61M
FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA $1.88M
FACULTY PHYSICIANS AND SURGEONS OF LLUSM MORENO VALLEY CA $1.82M
FACULTY PHYSICIANS AND SURGEONS OF LLUSM SAN BERNARDINO CA $1.75M
FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA $1.67M
FACULTY PHYSICIANS AND SURGEONS OF LLUSM SAN BERNARDINO CA $1.58M
FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA $1.17M
FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA $1.03M
FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA $814K
FACULTY MEDICAL GROUP OF LLUSM LOMA LINDA CA $747K
FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA $675K
FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA $631K
FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA $536K
FACULTY PHYSICIANS AND SURGEONS OF LLUSM PALMDALE CA $480K
FACULTY PHYSICIANS AND SURGEONS OF LLUSM MORENO VALLEY CA $375K
FACULTY PHYSICIANS AND SURGEONS OF LLUSM LOMA LINDA CA $346K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,657 $18K
2019 2,790 $5K
2020 3,384 $9K
2021 5,831 $17K
2022 3,225 $10K
2023 74,139 $4.64M
2024 267,109 $16.68M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 37,647 36,899 $2.97M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 12,415 12,362 $1.90M
99284 Emergency department visit for the evaluation and management, high severity 10,638 10,573 $1.27M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20,606 20,203 $1.11M
99215 Prolong outpt/office vis 6,583 6,105 $846K
99233 Prolong inpt eval add15 m 9,221 4,176 $782K
99232 Subsequent hospital care, per day, moderate complexity 11,516 5,616 $700K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 4,763 4,753 $641K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 11,874 11,787 $634K
J0585 Injection, onabotulinumtoxina, 1 unit 1,136 573 $550K
88305 Level IV - Surgical pathology, gross and microscopic examination 7,717 7,609 $508K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,911 1,216 $456K
99223 Prolong inpt eval add15 m 3,171 3,123 $422K
74177 Computed tomography, abdomen and pelvis; with contrast material 5,448 5,356 $399K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,565 3,554 $365K
67113 421 417 $347K
77067 Screening mammography, bilateral, including computer-aided detection 4,605 4,595 $285K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,118 1,114 $249K
70450 Computed tomography, head or brain; without contrast material 7,130 6,858 $229K
88307 2,465 2,436 $224K
99222 Initial hospital care, per day, moderate complexity 2,242 2,214 $207K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 253 249 $204K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,779 1,764 $191K
99283 Emergency department visit for the evaluation and management, moderate severity 2,520 2,508 $182K
92134 6,802 6,570 $181K
67028 Intravitreal injection of a pharmacologic agent 1,844 1,625 $163K
71045 Radiologic examination, chest; single view 23,863 19,290 $159K
99239 Hospital discharge day management, more than 30 minutes 1,734 1,715 $158K
31231 976 949 $157K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,659 1,618 $156K
78815 Positron emission tomography (PET) for limited area imaging 810 807 $150K
54360 200 195 $141K
J0475 Injection, baclofen, 10 mg 128 125 $138K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 304 304 $120K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 16,661 15,319 $113K
42820 Tonsillectomy and adenoidectomy; younger than age 12 351 349 $107K
71046 Radiologic examination, chest; 2 views 10,090 9,988 $106K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,101 1,094 $105K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,051 1,050 $103K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,767 1,766 $93K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,796 2,745 $87K
99238 Hospital discharge day management, 30 minutes or less 1,344 1,320 $85K
67228 278 259 $83K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 890 801 $79K
76642 1,875 1,599 $78K
76830 Ultrasound, transvaginal 1,298 1,297 $77K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,955 1,880 $72K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 1,562 1,529 $72K
31579 465 459 $69K
59025 Fetal non-stress test 2,230 2,014 $65K
14040 196 192 $63K
64615 530 530 $62K
74176 Computed tomography, abdomen and pelvis; without contrast material 929 922 $60K
76770 1,370 1,365 $57K
45380 Colonoscopy, flexible; with biopsy, single or multiple 351 349 $52K
95720 306 141 $52K
99460 791 787 $52K
95810 Polysomnography; sleep staging with 4 or more additional parameters 471 471 $51K
76700 Ultrasound, abdominal, real time with image documentation; complete 645 640 $51K
71275 Computed tomographic angiography, chest, with contrast material 749 745 $50K
92557 1,667 1,663 $50K
77066 Tomosynthesis, mammo 764 760 $50K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 288 288 $48K
99205 Prolong outpt/office vis 225 224 $47K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,425 1,282 $45K
77427 261 135 $45K
70551 Magnetic resonance imaging, brain; without contrast material 647 644 $44K
73221 512 480 $42K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 558 556 $42K
71250 934 928 $42K
92567 2,623 2,613 $36K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 96 95 $35K
99221 538 505 $34K
74018 4,424 3,884 $33K
99231 Subsequent hospital care, per day, straightforward or low complexity 691 369 $32K
70498 473 468 $32K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 470 465 $31K
71260 Computed tomography, thorax, diagnostic; with contrast material 712 681 $30K
77063 Screening digital breast tomosynthesis, bilateral 1,045 1,043 $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) 2,424 2,304 $29K
88304 2,320 2,312 $29K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 163 163 $28K
76536 474 468 $28K
57288 48 47 $27K
69210 621 606 $27K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 512 427 $27K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 130 120 $27K
J0178 Injection, aflibercept, 1 mg 24 24 $27K
54161 227 223 $26K
92524 271 223 $26K
72125 Computed tomography, cervical spine; without contrast material 662 655 $25K
95806 615 615 $25K
92235 346 346 $24K
92083 634 628 $24K
J9035 Injection, bevacizumab, 10 mg 322 263 $23K
99309 Subsequent nursing facility care, per day, low to moderate complexity 573 544 $23K
77065 Tomosynthesis, mammo 408 402 $21K
93000 1,846 1,829 $20K
93970 777 739 $20K
95811 187 186 $20K
73630 2,434 2,088 $19K
73562 2,037 1,693 $19K
70496 267 261 $18K
92551 1,624 1,619 $18K
77080 1,072 1,067 $18K
00170 Anesthesia for intraoral procedures, including biopsy 132 131 $17K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 630 626 $17K
92250 632 620 $16K
92060 253 252 $16K
92587 748 745 $16K
92579 359 357 $16K
92504 795 784 $16K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 399 146 $15K
43235 158 156 $15K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 134 134 $15K
73610 1,719 1,552 $15K
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy 794 112 $15K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 214 212 $14K
59514 16 16 $14K
99153 Mod sedat endo service >5yrs 957 948 $14K
77300 62 59 $14K
76813 224 224 $13K
96158 312 253 $13K
73030 1,426 1,295 $13K
72141 204 204 $13K
73560 1,665 1,264 $13K
93296 835 833 $13K
73110 1,279 1,144 $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) 2,399 2,381 $12K
01961 40 40 $12K
88342 356 345 $12K
72100 1,106 1,094 $11K
73130 1,290 1,112 $11K
76641 102 74 $11K
99447 316 316 $11K
93351 151 151 $10K
76376 1,400 1,374 $10K
49083 121 87 $10K
99183 102 13 $9K
93320 606 598 $9K
43259 66 66 $9K
76801 181 177 $9K
76882 189 171 $8K
90935 Hemodialysis procedure with single evaluation by a physician 169 107 $8K
00145 84 84 $8K
93880 278 276 $8K
77334 25 19 $8K
92582 85 85 $8K
88341 86 79 $8K
62369 90 88 $7K
77089 293 293 $7K
44970 12 12 $7K
96159 276 224 $7K
20610 190 177 $7K
77263 48 44 $7K
73564 297 233 $7K
00920 69 68 $7K
93295 288 288 $7K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 26 26 $7K
95718 49 48 $7K
70220 157 156 $6K
88312 222 222 $6K
93228 296 296 $6K
46600 146 142 $6K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 754 750 $6K
94010 196 195 $6K
17110 62 62 $6K
93298 101 101 $6K
73590 660 584 $5K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 180 177 $5K
00537 14 14 $5K
93971 301 297 $5K
92133 251 251 $5K
77295 18 18 $5K
73502 268 263 $4K
92015 Determination of refractive state 344 344 $4K
92136 158 156 $4K
74183 49 49 $4K
99462 113 94 $4K
93244 179 179 $4K
99152 410 399 $4K
95117 312 150 $4K
94060 462 462 $4K
73080 326 291 $4K
95886 66 66 $4K
00731 49 49 $4K
77290 27 23 $3K
G9920 Screening performed and negative 1,671 1,665 $3K
64405 57 57 $3K
93923 213 181 $3K
88108 159 142 $3K
90961 12 12 $3K
75561 13 13 $3K
77011 15 15 $3K
73565 416 411 $3K
59430 16 16 $3K
43244 13 13 $3K
92556 62 62 $3K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 56 56 $3K
88173 30 30 $3K
93325 921 897 $3K
95816 53 53 $3K
73090 209 187 $3K
51798 358 353 $3K
74174 28 28 $3K
91010 46 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) 40 40 $3K
92526 35 26 $3K
76937 223 216 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 661 653 $2K
72131 57 56 $2K
70486 56 55 $2K
73552 268 234 $2K
72170 310 301 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 12 12 $2K
S0265 Genetic counseling, under physician supervision, each 15 minutes 32 32 $2K
93283 58 56 $2K
72197 25 25 $2K
72040 185 185 $2K
73620 265 237 $2K
88112 84 82 $2K
94664 152 152 $2K
94729 283 283 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 228 225 $2K
74328 89 89 $2K
95819 27 27 $2K
99292 28 15 $2K
73120 178 146 $1K
96156 16 16 $1K
99443 13 13 $1K
93356 137 137 $1K
90686 1,744 1,741 $1K
99308 Subsequent nursing facility care, per day, straightforward 58 58 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 119 107 $1K
73020 180 164 $1K
77001 86 83 $1K
11102 25 25 $1K
91037 27 27 $1K
31575 12 12 $1K
73501 133 132 $1K
93016 59 59 $999.93
77092 139 139 $997.39
72082 12 12 $962.40
93280 48 46 $962.10
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 25 24 $927.18
96116 12 12 $906.92
72072 86 86 $905.28
94618 45 45 $883.81
88321 12 12 $873.08
88331 13 13 $840.16
93282 27 27 $813.56
92555 25 25 $787.67
93227 49 49 $787.25
00126 13 13 $772.73
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 379 378 $739.96
93294 39 39 $709.06
90648 239 235 $700.74
90723 165 163 $663.39
93018 59 59 $659.75
70491 12 12 $640.90
72110 12 12 $582.28
73700 15 12 $578.46
99451 19 17 $569.62
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 164 162 $557.10
76819 Fetal biophysical profile; without non-stress testing 14 14 $524.83
94726 57 57 $523.59
81002 315 306 $507.25
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 77 25 $501.56
92588 14 14 $495.40
93248 17 17 $474.81
73140 73 67 $451.20
90670 162 162 $450.00
88300 118 115 $430.97
78264 13 13 $424.01
36620 12 12 $423.06
92025 12 12 $404.46
95885 12 12 $364.44
93926 13 12 $352.07
93272 15 15 $349.89
76942 12 12 $341.66
93289 14 14 $317.59
77075 12 12 $299.38
93308 17 12 $280.36
90656 28 28 $265.35
95251 13 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 59 25 $214.63
72050 17 17 $199.74
73070 21 19 $146.68
83655 14 14 $137.79
90734 39 39 $117.00
90677 13 13 $115.65
85018 107 104 $100.42
51741 12 12 $96.71
96127 713 711 $91.27
73060 13 13 $83.54
90680 26 26 $72.00
90633 15 15 $27.00
90651 82 82 $18.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 84 84 $5.19
96161 1,569 1,565 $3.25
99173 1,985 1,978 $0.00
90461 86 85 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 345 344 $0.00
3078F 1,513 1,326 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 56 56 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 107 107 $0.00
G8484 Influenza immunization was not administered, reason not given 108 108 $0.00
96160 13 13 $0.00
G8482 Influenza immunization administered or previously received 56 54 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 20 20 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 5,692 5,528 $0.00
3074F 1,335 1,125 $0.00
1036F 484 473 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 160 157 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 44 43 $0.00
3072F 56 47 $0.00
3079F 24 24 $0.00
G8433 Screening for depression not completed, documented patient or medical reason 14 14 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 14 $0.00