Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Loma Linda › NPI 1275583205

Faculty Physicians and Surgeons of Llusm

Faculty Physicians and Surgeons of Llusm was paid $54.91M by Medicaid between Jan 2018 and Nov 2024, across 344 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 12% of everything it billed.

33Billing provider infoFACULTY PHYSICIANS AND SURGEONS OF LLUSM
LOMA LINDA, CA 92354
33aNPI1275583205assigned 05/11/2006
33bProvider typeAudiologist
28Total paid$54.91M
24GClaims924,012
24DCodes billed344
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Audiologist providers in California

Rank by total paid#1 of 72
Median peer was paid$113K
This provider vs. median487×

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
201829,851$1.59M
2019139,003$7.22M
2020136,106$7.61M
2021181,126$10.99M
2022214,142$13.39M
2023221,553$13.93M
2024incomplete2,231$183K
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 12% 79,235 76,921 $6.34M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 8.1% 29,940 29,724 $4.46M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.0% 68,641 66,335 $4.37M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.4% 33,839 15,660 $2.43M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 4.1% 18,679 18,562 $2.23M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3.8% 36,309 35,995 $2.09M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 3.5% 35,581 17,242 $1.90M
99223 Prolong inpt eval add15 m 3.3% 12,380 12,195 $1.80M
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 3.1% 12,380 12,271 $1.72M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.9% 16,627 16,456 $1.57M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.6% 13,096 12,065 $1.43M
88305 Level IV - Surgical pathology, gross and microscopic examination 2.5% 19,743 19,487 $1.39M
332 more codes
74177 Computed tomography, abdomen and pelvis; with contrast material 2.3% 16,362 $1.26M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2.2% 7,429 $1.24M
99283 Emergency room visit (moderate) 1.7% 12,797 $911K
70450 Computed tomography, head or brain; without contrast material 1.3% 21,208 $718K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 1.2% 838 $674K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.2% 7,183 $643K
77067 Screening mammography, bilateral, including computer-aided detection 1.2% 8,722 $639K
88307 1.0% 6,066 $570K
71045 Radiologic examination, chest; single view 1.0% 71,340 $555K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 5,089 $546K
99222 Initial hospital care, per day, moderate complexity <1% 5,151 $522K
99238 Hospital discharge day management, 30 minutes or less <1% 8,636 $452K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 57,548 $445K
31231 <1% 2,739 $444K
99239 Hospital discharge day management, more than 30 minutes <1% 4,746 $386K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 827 $353K
71046 Radiologic examination, chest; 2 views <1% 30,803 $344K
92134 <1% 12,229 $333K
67113 <1% 327 $327K
99460 <1% 5,013 $323K
67028 Intravitreal injection of a pharmacologic agent <1% 3,498 $306K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 1,893 $285K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 4,594 $281K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 1,203 $279K
78815 Positron emission tomography (PET) for limited area imaging <1% 1,366 $266K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 7,239 $264K
31579 <1% 1,667 $246K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 4,255 $245K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 1,696 $226K
92557 <1% 6,764 $219K
76830 Ultrasound, transvaginal <1% 3,229 $215K
44970 <1% 382 $215K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 6,224 $210K
92567 <1% 14,465 $209K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,781 $199K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 1,696 $198K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 809 $197K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 4,107 $192K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 1,752 $173K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 5,538 $171K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 1,696 $169K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 1,819 $164K
76770 <1% 4,124 $159K
76642 <1% 2,931 $154K
92579 <1% 3,265 $149K
42999 <1% 225 $147K
99221 <1% 2,000 $140K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,473 $136K
59025 Fetal non-stress test <1% 4,354 $130K
92587 <1% 5,819 $128K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 2,846 $125K
76641 <1% 1,182 $125K
64615 <1% 1,081 $124K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 2,153 $120K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 131 $110K
99205 Prolong outpt/office vis <1% 540 $108K
74018 <1% 12,731 $105K
77066 Tomosynthesis, mammo <1% 1,223 $102K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 1,224 $93K
Z5924 <1% 2,030 $89K
77065 Tomosynthesis, mammo <1% 889 $82K
J0475 Injection, baclofen, 10 mg <1% 76 $81K
42299 <1% 171 $81K
76818 <1% 1,497 $78K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 918 $78K
01922 <1% 522 $70K
93970 <1% 2,422 $69K
92250 <1% 2,123 $68K
71250 <1% 1,433 $68K
92551 <1% 6,070 $67K
76536 <1% 1,088 $67K
95811 <1% 581 $66K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 1,547 $66K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 408 $65K
69210 <1% 1,594 $65K
70551 Magnetic resonance imaging, brain; without contrast material <1% 930 $65K
54161 <1% 399 $63K
J9035 Injection, bevacizumab, 10 mg <1% 850 $62K
92083 <1% 1,237 $62K
92235 <1% 758 $61K
95720 <1% 318 $60K
J0178 Injection, aflibercept, 1 mg <1% 41 $60K
73630 <1% 6,743 $60K
73221 <1% 717 $57K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 952 $57K
71275 Computed tomographic angiography, chest, with contrast material <1% 816 $56K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 920 $56K
92582 <1% 682 $55K
92060 <1% 795 $52K
73610 <1% 5,440 $51K
88304 <1% 4,122 $50K
72125 Computed tomography, cervical spine; without contrast material <1% 1,178 $50K
92133 <1% 1,794 $48K
92504 <1% 2,147 $48K
70498 <1% 738 $47K
54360 <1% 61 $45K
77427 <1% 282 $44K
73562 <1% 4,072 $40K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 1,201 $39K
67228 <1% 138 $38K
73130 <1% 4,374 $38K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 97 $38K
73560 <1% 4,797 $37K
93320 <1% 1,998 $37K
00920 <1% 376 $37K
93000 <1% 3,200 $37K
93351 <1% 473 $35K
73030 <1% 3,779 $35K
90961 <1% 246 $34K
96158 <1% 728 $34K
Z5936 <1% 636 $34K
X4500 <1% 564 $33K
49083 <1% 478 $31K
95806 <1% 733 $31K
73110 <1% 3,464 $30K
93880 <1% 1,003 $28K
90935 Hemodialysis procedure with single evaluation by a physician <1% 621 $27K
76813 <1% 438 $27K
01961 <1% 87 $26K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 294 $26K
95951 <1% 102 $26K
93296 <1% 1,484 $26K
72100 <1% 2,269 $25K
72141 <1% 369 $24K
99234 <1% 191 $24K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 478 $24K
42900 <1% 73 $23K
76825 <1% 295 $23K
67040 <1% 25 $22K
93295 <1% 779 $21K
Z5916 <1% 644 $21K
96910 <1% 200 $21K
93325 <1% 4,951 $21K
88342 <1% 619 $21K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc <1% 388 $20K
70496 <1% 292 $20K
14040 <1% 61 $20K
46600 <1% 413 $20K
93971 <1% 1,039 $19K
94010 <1% 516 $18K
77080 <1% 809 $18K
92556 <1% 408 $17K
96159 <1% 576 $17K
74183 <1% 197 $17K
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% 3,212 $17K
92524 <1% 177 $17K
31615 <1% 74 $16K
99462 <1% 407 $16K
17110 <1% 160 $15K
73590 <1% 1,525 $14K
31575 <1% 130 $14K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 120 $13K
92555 <1% 525 $13K
99447 <1% 394 $13K
99153 Mod sedat endo service >5yrs <1% 834 $13K
57288 <1% 24 $13K
93227 <1% 641 $13K
92015 Determination of refractive state <1% 627 $12K
Z5910 <1% 406 $12K
67042 <1% 13 $12K
95718 <1% 83 $12K
93976 <1% 301 $11K
43259 <1% 72 $11K
96152 <1% 199 $11K
93298 <1% 461 $11K
71270 <1% 197 $11K
88312 <1% 366 $10K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 366 $10K
70220 <1% 247 $10K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 285 $10K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 41 $10K
S0265 Genetic counseling, under physician supervision, each 15 minutes <1% 126 $9K
95885 <1% 210 $9K
99310 Prolong nursin fac eval 15m <1% 797 $9K
77300 <1% 42 $9K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 318 $9K
99292 <1% 115 $9K
99443 <1% 115 $8K
73502 <1% 500 $8K
99152 <1% 846 $8K
95886 <1% 128 $8K
76827 <1% 283 $8K
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy <1% 469 $8K
88341 <1% 97 $8K
00170 Anesthesia for intraoral procedures, including biopsy <1% 52 $8K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 157 $8K
67210 <1% 19 $7K
94060 <1% 665 $7K
77063 Screening digital breast tomosynthesis, bilateral <1% 264 $7K
77334 <1% 38 $7K
72110 <1% 132 $7K
76801 <1% 124 $6K
96156 <1% 68 $6K
00142 <1% 129 $6K
76882 <1% 131 $6K
99442 <1% 245 $6K
Z5918 <1% 403 $5K
92612 <1% 38 $5K
93016 <1% 279 $5K
00840 <1% 25 $5K
51798 <1% 627 $5K
77290 <1% 57 $5K
73090 <1% 398 $5K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 25 $5K
76376 <1% 628 $5K
00145 <1% 44 $5K
73552 <1% 363 $4K
93923 <1% 294 $4K
99253 <1% 73 $4K
72197 <1% 41 $4K
51729 <1% 18 $4K
92526 <1% 45 $4K
93289 <1% 127 $4K
72131 <1% 88 $4K
43235 <1% 41 $4K
93018 <1% 278 $4K
72128 <1% 86 $4K
72170 <1% 462 $4K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 450 $3K
93228 <1% 142 $3K
20610 <1% 90 $3K
93283 <1% 81 $3K
77001 <1% 211 $3K
93294 <1% 167 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 84 $3K
99220 <1% 42 $3K
V2510 Contact lens, gas permeable, spherical, per lens <1% 13 $3K
77263 <1% 18 $3K
46221 <1% 16 $3K
93454 <1% 13 $3K
93282 <1% 71 $3K
73564 <1% 134 $3K
76937 <1% 220 $3K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk <1% 16 $3K
73080 <1% 229 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 179 $3K
72082 <1% 40 $3K
94729 <1% 231 $3K
73565 <1% 322 $3K
70486 <1% 48 $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% 36 $3K
88321 <1% 39 $3K
36561 <1% 13 $3K
62369 <1% 30 $2K
94664 <1% 136 $2K
88112 <1% 102 $2K
51797 <1% 18 $2K
77075 <1% 82 $2K
88108 <1% 101 $2K
92136 <1% 68 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 12 $2K
52000 <1% 24 $2K
99441 <1% 90 $2K
74178 <1% 19 $2K
11102 <1% 49 $2K
31622 <1% 14 $2K
95819 <1% 41 $2K
99451 <1% 52 $1K
00731 <1% 12 $1K
A9576 Injection, gadoteridol, (prohance multipack), per ml <1% 111 $1K
72040 <1% 130 $1K
95117 <1% 114 $1K
Z5928 <1% 40 $1K
72050 <1% 90 $1K
95813 <1% 14 $1K
88173 <1% 13 $1K
90670 <1% 260 $1K
73501 <1% 135 $1K
93922 <1% 140 $1K
88331 <1% 13 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 17 $1K
96415 <1% 14 $1K
95816 <1% 25 $1K
93280 <1% 43 $1K
74328 <1% 58 $997.98
32555 <1% 14 $976.08
76377 <1% 29 $904.69
64405 <1% 15 $860.79
81002 <1% 402 $854.70
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 46 $845.45
93248 <1% 41 $841.77
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% 107 $748.18
92613 <1% 26 $748.01
20553 <1% 17 $735.79
69801 <1% 12 $726.72
76776 <1% 42 $690.62
51784 <1% 18 $652.14
92020 <1% 36 $642.09
93297 <1% 26 $632.90
76942 <1% 27 $618.62
0298T <1% 26 $588.99
93284 <1% 12 $570.64
93356 <1% 46 $488.62
73100 <1% 15 $463.47
90686 <1% 28 $405.91
G9920 Screening performed and negative <1% 178 $387.54
88300 <1% 92 $375.13
94726 <1% 38 $374.27
90715 <1% 27 $372.42
99201 <1% 12 $332.76
94618 <1% 13 $331.69
11900 <1% 13 $326.23
99446 <1% 19 $305.03
72072 <1% 29 $301.80
73070 <1% 21 $296.50
X4540 <1% 13 $268.45
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 13 $262.98
73020 <1% 37 $260.26
73620 <1% 34 $242.70
72120 <1% 24 $236.36
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 80 $155.26
93288 <1% 12 $154.32
88311 <1% 12 $152.89
99497 <1% 12 $140.49
51741 <1% 18 $110.44
73140 <1% 14 $98.00
73000 <1% 12 $96.29
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 40 $95.52
0500F <1% 24 $84.00
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 20 $38.07
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 43 $37.68
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 26 $0.57
1036F 0% 302 $0.00
96127 0% 23 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 232 $0.00
85018 0% 12 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 149 $0.00
90734 0% 54 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 110 $0.00
G8484 Influenza immunization was not administered, reason not given 0% 110 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 15 $0.00
G8482 Influenza immunization administered or previously received 0% 33 $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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