Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › PALO ALTO › LPCH MEDICAL GROUP DIV OF LUCILE

LPCH MEDICAL GROUP DIV OF LUCILE

NPI: 1417907940 · PALO ALTO, CA 94304 · Pediatrics Physician · NPI assigned 05/12/2006

$40.98M
Total Medicaid Paid
720,274
Total Claims
621,586
Beneficiaries
223
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHAERING, DANA (CFO)
NPI Enumeration Date05/12/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 75,041 $4.95M
2019 105,789 $5.27M
2020 87,576 $4.46M
2021 110,364 $5.86M
2022 106,225 $5.97M
2023 130,243 $7.33M
2024 105,036 $7.13M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99215 Prolong outpt/office vis 62,080 56,348 $8.11M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 87,940 84,009 $5.93M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 90,400 86,560 $3.21M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 14,522 14,213 $2.34M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 18,030 17,135 $2.23M
99233 Prolong inpt eval add15 m 23,090 8,390 $1.69M
99244 Office or other outpatient consultation, moderate to high complexity 9,529 9,459 $1.51M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 8,601 8,088 $1.25M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 17,233 15,637 $1.21M
93320 19,184 17,779 $943K
93325 28,328 26,391 $817K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3,167 1,340 $686K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7,527 7,455 $663K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 4,803 4,257 $572K
71045 Radiologic examination, chest; single view 60,464 32,659 $572K
70551 Magnetic resonance imaging, brain; without contrast material 6,907 6,053 $506K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 34,234 23,542 $472K
76813 5,670 4,958 $449K
99232 Subsequent hospital care, per day, moderate complexity 6,561 2,750 $397K
99243 3,933 3,913 $374K
93000 16,765 16,483 $367K
99460 5,961 5,932 $357K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,879 1,865 $354K
76770 4,015 3,965 $309K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,561 2,535 $299K
95720 1,257 788 $281K
76825 1,279 1,228 $267K
99238 Hospital discharge day management, 30 minutes or less 5,334 5,221 $259K
99417 Prolong home eval add 15m 4,556 4,245 $257K
99205 Prolong outpt/office vis 1,537 1,517 $256K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,914 2,911 $245K
99245 1,310 1,305 $237K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 6,030 4,585 $175K
90460 Immunization administration through 18 years of age via any route, first or only component 22,082 21,879 $147K
95951 510 299 $133K
74018 12,693 9,954 $130K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 417 417 $125K
59025 Fetal non-stress test 8,395 5,497 $116K
99242 1,200 1,191 $92K
76827 1,334 1,288 $91K
99480 Subsequent intensive care, per day, low birth weight infant 687 192 $90K
99462 2,796 2,327 $88K
96112 519 510 $78K
69210 1,901 1,264 $69K
31645 443 396 $66K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,974 1,970 $64K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) 1,975 1,816 $63K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 264 76 $60K
72082 1,600 1,581 $58K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,536 585 $58K
31622 375 344 $57K
Z0104 417 130 $56K
71046 Radiologic examination, chest; 2 views 4,036 3,882 $54K
99464 774 771 $53K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 220 49 $52K
93356 1,141 1,122 $51K
96450 282 239 $49K
93976 630 592 $49K
92060 924 921 $48K
Z0102 278 52 $48K
92551 21,012 20,930 $48K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,188 3,180 $46K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,866 1,859 $45K
Z1034 813 555 $45K
87428 636 620 $43K
99239 Hospital discharge day management, more than 30 minutes 526 507 $42K
92526 746 545 $42K
17110 255 252 $40K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,149 1,093 $39K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,870 838 $38K
70450 Computed tomography, head or brain; without contrast material 867 684 $36K
0001A 1,043 1,034 $31K
76775 673 467 $30K
0002A 950 940 $29K
76700 Ultrasound, abdominal, real time with image documentation; complete 677 661 $29K
59425 372 221 $27K
74183 281 256 $27K
94010 1,443 1,345 $25K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 397 385 $24K
96110 Developmental screening, with scoring and documentation, per standardized instrument 590 529 $23K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,522 2,515 $20K
90686 6,048 5,994 $20K
95782 136 134 $20K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 853 448 $20K
76705 Ultrasound, abdominal, real time with image documentation; limited 710 650 $19K
94375 821 809 $19K
93505 78 73 $18K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 287 248 $18K
99255 132 128 $17K
90480 420 420 $17K
95251 416 404 $17K
93227 486 483 $17K
99223 Prolong inpt eval add15 m 135 131 $16K
72197 160 137 $15K
72141 208 185 $15K
92250 303 300 $14K
99254 156 146 $14K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 190 185 $13K
72170 840 826 $13K
31526 113 104 $13K
76100 520 512 $12K
90461 2,598 2,581 $11K
92015 Determination of refractive state 924 921 $11K
01922 42 42 $11K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 157 150 $11K
17999 302 302 $10K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 316 295 $10K
42820 Tonsillectomy and adenoidectomy; younger than age 12 38 38 $9K
97803 514 507 $9K
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 90 87 $8K
99358 Prolong nursin fac eval 15m 108 107 $8K
0071A 584 581 $8K
0072A 570 569 $7K
76506 294 217 $7K
95144 567 341 $7K
92201 243 84 $7K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 75 65 $6K
70543 69 66 $6K
31575 55 55 $6K
99479 Subsequent intensive care, per day, very low birth weight infant 51 14 $6K
Z4303 194 194 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 95 92 $5K
73100 305 276 $4K
99253 61 55 $4K
99222 Initial hospital care, per day, moderate complexity 42 41 $4K
Z4300 57 57 $4K
00635 27 26 $3K
92133 85 82 $3K
31615 15 15 $3K
0004A 114 114 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 183 177 $3K
S0265 Genetic counseling, under physician supervision, each 15 minutes 84 82 $3K
93248 129 129 $3K
93304 28 26 $3K
72146 40 39 $3K
99356 39 13 $3K
93224 30 30 $3K
92226 31 12 $3K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 56 49 $2K
G9920 Screening performed and negative 67 67 $2K
95718 13 12 $2K
31624 12 12 $2K
99221 41 39 $2K
Z4304 43 43 $2K
00170 Anesthesia for intraoral procedures, including biopsy 14 14 $2K
81025 527 511 $2K
99451 53 53 $2K
74019 144 115 $2K
95819 37 37 $2K
73070 115 101 $2K
97530 Therapeutic activities, direct patient contact, each 15 minutes 89 62 $2K
72156 13 13 $2K
93321 40 38 $2K
74230 97 97 $2K
31500 19 13 $2K
99173 13,356 13,317 $2K
99383 14 14 $2K
90656 456 456 $2K
99188 56 56 $1K
Z4301 79 77 $1K
72158 12 12 $1K
71010 154 69 $1K
71250 24 24 $1K
96156 12 12 $1K
92083 25 25 $1K
76942 38 37 $1K
99354 12 12 $1K
96111 13 13 $1K
76820 40 26 $1K
92020 41 41 $1K
99401 57 56 $1K
77073 37 37 $1K
31231 12 12 $982.76
73090 59 48 $946.76
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) 172 167 $945.26
0003A 22 22 $870.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 17 17 $856.01
93018 39 39 $842.32
99241 24 24 $783.82
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 12 12 $751.29
51736 26 26 $702.31
97139 58 12 $682.70
95812 14 14 $599.30
72081 37 37 $587.67
77001 30 24 $541.24
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 42 42 $534.24
70355 45 45 $521.34
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 245 229 $518.04
99367 13 12 $494.00
73610 28 25 $430.38
95012 24 24 $430.14
90671 39 39 $404.00
93242 24 24 $331.68
73560 17 15 $317.76
73630 16 12 $315.19
93971 12 12 $311.89
99177 154 154 $308.00
73620 36 25 $306.52
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 28 12 $301.10
85018 707 699 $284.83
73590 15 13 $284.59
93244 12 12 $282.94
90674 15 15 $261.00
83655 24 24 $257.36
90698 24 24 $229.06
90472 Immunization administration, each additional vaccine (list separately) 37 37 $216.44
81002 96 79 $165.37
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 621 327 $131.00
93246 13 13 $130.59
94729 15 15 $117.37
90651 94 94 $105.00
0081A 17 17 $80.00
D1206 Topical application of fluoride varnish 64 64 $53.46
90670 29 29 $27.00
96127 43 30 $9.62
91307 115 109 $0.00
0082A 12 12 $0.00
90688 21 21 $0.00
0074A 12 12 $0.00
Z5218 27 26 $0.00
90734 28 28 $0.00
91300 122 115 $0.00
80061 Lipid panel 12 12 $0.00