Physician
Loma Linda University Health Care INC
Loma Linda University Health Care INC was paid $39K by Medicaid between Jul 2022 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoLOMA LINDA UNIVERSITY HEALTH CARE INC
LOMA LINDA, CA 92350
LOMA LINDA, CA 92350
33aNPI1245518075assigned 07/27/2011
33bProvider typeSurgery Physician
28Total paid$39K
24GClaims38,472
24DCodes billed37
24AFirst – last monthJul 2022 – Dec 2024
Compared with peers
Next to other Surgery Physician providers in California
Rank by total paid#190 of 437
Median peer was paid$23K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2022 | 8,084 | $464.63 | |
| 2023 | 15,114 | $18K | |
| 2024incomplete | 15,274 | $20K |
Box 24 · Service lines
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 | 31% | 8,715 | 8,572 | $12K |
| 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 | 30% | 5,824 | 5,718 | $12K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 1,560 | 1,554 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 874 | 873 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.9% | 466 | 466 | $2K |
| 99173 | 2.2% | 2,429 | 2,422 | $863.55 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.1% | 248 | 248 | $818.54 |
| 96161 | 1.8% | 4,526 | 4,483 | $680.61 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 104 | 102 | $575.37 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 438 | 428 | $402.93 |
| G9920 | Screening performed and negative | <1% | 5,558 | 5,540 | $87.00 |
| 96127 | <1% | 422 | 422 | $42.77 |
25 more codes
| 85018 | <1% | 247 | $39.50 | |
| 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% | 139 | $32.50 |
| 90648 | <1% | 210 | $9.00 | |
| 90633 | 0% | 94 | $0.00 | |
| 99177 | 0% | 26 | $0.00 | |
| 3078F | 0% | 428 | $0.00 | |
| 96160 | 0% | 81 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 90 | $0.00 |
| 90734 | 0% | 60 | $0.00 | |
| 83655 | 0% | 111 | $0.00 | |
| 90670 | 0% | 99 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 13 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 42 | $0.00 |
| 90715 | 0% | 12 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,284 | $0.00 |
| 90686 | 0% | 1,950 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 969 | $0.00 |
| 3074F | 0% | 638 | $0.00 | |
| 90677 | 0% | 105 | $0.00 | |
| 90656 | 0% | 393 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 13 | $0.00 |
| 90723 | 0% | 39 | $0.00 | |
| 3079F | 0% | 150 | $0.00 | |
| 90651 | 0% | 101 | $0.00 | |
| G0008 | Administration of influenza virus 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
Who's on the registration
Authorized officialWOLTER, LISA (PROVIDER ENROLLMENT)