Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

LPCH Medical Group Div of Lucile

LPCH Medical Group Div of Lucile was paid $40.98M by Medicaid between Jan 2018 and Dec 2024, across 223 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 20% of everything it billed.

33Billing provider infoLPCH MEDICAL GROUP DIV OF LUCILE
PALO ALTO, CA 94304
33aNPI1417907940assigned 05/12/2006
33bProvider typePediatrics Physician
28Total paid$40.98M
24GClaims720,274
24DCodes billed223
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#6 of 1,490
Median peer was paid$15K
This provider vs. median2,734×

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

$0$500K$1.0M2018201920202021202220232024
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
201875,041$4.95M
2019105,789$5.27M
202087,576$4.46M
2021110,364$5.86M
2022106,225$5.97M
2023130,243$7.33M
2024incomplete105,036$7.13M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 20% 62,080 56,348 $8.11M
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% 87,940 84,009 $5.93M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.8% 90,400 86,560 $3.21M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5.7% 14,522 14,213 $2.34M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 5.4% 18,030 17,135 $2.23M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.1% 23,090 8,390 $1.69M
99244 Office or other outpatient consultation, moderate to high complexity 3.7% 9,529 9,459 $1.51M
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 3.1% 8,601 8,088 $1.25M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 3.0% 17,233 15,637 $1.21M
93320 2.3% 19,184 17,779 $943K
93325 2.0% 28,328 26,391 $817K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.7% 3,167 1,340 $686K
211 more codes
99203 Doctor's office visit, new patient (routine) 1.6% 7,527 $663K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1.4% 4,803 $572K
71045 Radiologic examination, chest; single view 1.4% 60,464 $572K
70551 Magnetic resonance imaging, brain; without contrast material 1.2% 6,907 $506K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.2% 34,234 $472K
76813 1.1% 5,670 $449K
99232 Hospital visit by a doctor, follow-up day <1% 6,561 $397K
99243 <1% 3,933 $374K
93000 <1% 16,765 $367K
99460 <1% 5,961 $357K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 1,879 $354K
76770 <1% 4,015 $309K
99204 Doctor's office visit, new patient (more involved) <1% 2,561 $299K
95720 <1% 1,257 $281K
76825 <1% 1,279 $267K
99238 Hospital discharge day management, 30 minutes or less <1% 5,334 $259K
99417 Prolong home eval add 15m <1% 4,556 $257K
99205 Prolong outpt/office vis <1% 1,537 $256K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 2,914 $245K
99245 <1% 1,310 $237K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 6,030 $175K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 22,082 $147K
95951 <1% 510 $133K
74018 <1% 12,693 $130K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 417 $125K
59025 Fetal non-stress test <1% 8,395 $116K
99242 <1% 1,200 $92K
76827 <1% 1,334 $91K
99480 Subsequent intensive care, per day, low birth weight infant <1% 687 $90K
99462 <1% 2,796 $88K
96112 <1% 519 $78K
69210 <1% 1,901 $69K
31645 <1% 443 $66K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 1,974 $64K
S0302 Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) <1% 1,975 $63K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years <1% 264 $60K
72082 <1% 1,600 $58K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 1,536 $58K
31622 <1% 375 $57K
Z0104 <1% 417 $56K
71046 Radiologic examination, chest; 2 views <1% 4,036 $54K
99464 <1% 774 $53K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 220 $52K
93356 <1% 1,141 $51K
96450 <1% 282 $49K
93976 <1% 630 $49K
92060 <1% 924 $48K
Z0102 <1% 278 $48K
92551 <1% 21,012 $48K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 3,188 $46K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,866 $45K
Z1034 <1% 813 $45K
87428 <1% 636 $43K
99239 Hospital discharge day management, more than 30 minutes <1% 526 $42K
92526 <1% 746 $42K
17110 <1% 255 $40K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,149 $39K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 1,870 $38K
70450 Computed tomography, head or brain; without contrast material <1% 867 $36K
0001A <1% 1,043 $31K
76775 <1% 673 $30K
0002A <1% 950 $29K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 677 $29K
59425 <1% 372 $27K
74183 <1% 281 $27K
94010 <1% 1,443 $25K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 397 $24K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 590 $23K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,522 $20K
90686 <1% 6,048 $20K
95782 <1% 136 $20K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 853 $20K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 710 $19K
94375 <1% 821 $19K
93505 <1% 78 $18K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 287 $18K
99255 <1% 132 $17K
90480 <1% 420 $17K
95251 <1% 416 $17K
93227 <1% 486 $17K
99223 Prolong inpt eval add15 m <1% 135 $16K
72197 <1% 160 $15K
72141 <1% 208 $15K
92250 <1% 303 $14K
99254 <1% 156 $14K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 190 $13K
72170 <1% 840 $13K
31526 <1% 113 $13K
76100 <1% 520 $12K
90461 <1% 2,598 $11K
92015 Determination of refractive state <1% 924 $11K
01922 <1% 42 $11K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 157 $11K
17999 <1% 302 $10K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 316 $10K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 38 $9K
97803 <1% 514 $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 <1% 90 $8K
99358 Prolong nursin fac eval 15m <1% 108 $8K
0071A <1% 584 $8K
0072A <1% 570 $7K
76506 <1% 294 $7K
95144 <1% 567 $7K
92201 <1% 243 $7K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 75 $6K
70543 <1% 69 $6K
31575 <1% 55 $6K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 51 $6K
Z4303 <1% 194 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 95 $5K
73100 <1% 305 $4K
99253 <1% 61 $4K
99222 Initial hospital care, per day, moderate complexity <1% 42 $4K
Z4300 <1% 57 $4K
00635 <1% 27 $3K
92133 <1% 85 $3K
31615 <1% 15 $3K
0004A <1% 114 $3K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 183 $3K
S0265 Genetic counseling, under physician supervision, each 15 minutes <1% 84 $3K
93248 <1% 129 $3K
93304 <1% 28 $3K
72146 <1% 40 $3K
99356 <1% 39 $3K
93224 <1% 30 $3K
92226 <1% 31 $3K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 56 $2K
G9920 Screening performed and negative <1% 67 $2K
95718 <1% 13 $2K
31624 <1% 12 $2K
99221 <1% 41 $2K
Z4304 <1% 43 $2K
00170 Anesthesia for intraoral procedures, including biopsy <1% 14 $2K
81025 <1% 527 $2K
99451 <1% 53 $2K
74019 <1% 144 $2K
95819 <1% 37 $2K
73070 <1% 115 $2K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 89 $2K
72156 <1% 13 $2K
93321 <1% 40 $2K
74230 <1% 97 $2K
31500 <1% 19 $2K
99173 <1% 13,356 $2K
99383 <1% 14 $2K
90656 <1% 456 $2K
99188 <1% 56 $1K
Z4301 <1% 79 $1K
72158 <1% 12 $1K
71010 <1% 154 $1K
71250 <1% 24 $1K
96156 <1% 12 $1K
92083 <1% 25 $1K
76942 <1% 38 $1K
99354 <1% 12 $1K
96111 <1% 13 $1K
76820 <1% 40 $1K
92020 <1% 41 $1K
99401 <1% 57 $1K
77073 <1% 37 $1K
31231 <1% 12 $982.76
73090 <1% 59 $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) <1% 172 $945.26
0003A <1% 22 $870.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 17 $856.01
93018 <1% 39 $842.32
99241 <1% 24 $783.82
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 12 $751.29
51736 <1% 26 $702.31
97139 <1% 58 $682.70
95812 <1% 14 $599.30
72081 <1% 37 $587.67
77001 <1% 30 $541.24
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session <1% 42 $534.24
70355 <1% 45 $521.34
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 245 $518.04
99367 <1% 13 $494.00
73610 <1% 28 $430.38
95012 <1% 24 $430.14
90671 <1% 39 $404.00
93242 <1% 24 $331.68
73560 <1% 17 $317.76
73630 <1% 16 $315.19
93971 <1% 12 $311.89
99177 <1% 154 $308.00
73620 <1% 36 $306.52
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 28 $301.10
85018 <1% 707 $284.83
73590 <1% 15 $284.59
93244 <1% 12 $282.94
90674 <1% 15 $261.00
83655 <1% 24 $257.36
90698 <1% 24 $229.06
90472 Immunization administration, each additional vaccine (list separately) <1% 37 $216.44
81002 <1% 96 $165.37
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 621 $131.00
93246 <1% 13 $130.59
94729 <1% 15 $117.37
90651 <1% 94 $105.00
0081A <1% 17 $80.00
D1206 Topical application of fluoride varnish <1% 64 $53.46
90670 <1% 29 $27.00
96127 <1% 43 $9.62
91307 0% 115 $0.00
0082A 0% 12 $0.00
90688 0% 21 $0.00
0074A 0% 12 $0.00
Z5218 0% 27 $0.00
90734 0% 28 $0.00
91300 0% 122 $0.00
80061 Lipid panel 0% 12 $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 officialHAERING, DANA (CFO)