Medicaid Provider Spending

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

FACULTY PHYSICIANS AND SURGEONS OF LLUSM

NPI: 1477503407 · LOMA LINDA, CA 92350 · Internal Medicine 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

$66.40M
Total Medicaid Paid
1,013,343
Total Claims
809,045
Beneficiaries
264
Codes Billed
2018-01
First Month
2024-12
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 $54.91M
FACULTY PHYSICIANS AND SURGEONS OF LLUSM REDLANDS CA $21.38M
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 207,384 $13.55M
2019 126,442 $9.14M
2020 106,336 $6.93M
2021 138,504 $8.31M
2022 131,631 $7.75M
2023 163,055 $10.49M
2024 139,991 $10.24M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 69,028 65,895 $10.00M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 67,018 62,137 $6.34M
99232 Subsequent hospital care, per day, moderate complexity 106,033 50,012 $5.28M
99284 Emergency department visit for the evaluation and management, high severity 38,451 37,586 $4.10M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 13,056 6,386 $3.65M
Z0102 12,969 3,982 $2.53M
99233 Prolong inpt eval add15 m 38,442 14,692 $2.52M
99480 Subsequent intensive care, per day, low birth weight infant 19,449 6,408 $2.51M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38,007 33,551 $2.27M
74177 Computed tomography, abdomen and pelvis; with contrast material 22,148 21,441 $1.71M
Z0104 12,305 3,770 $1.70M
99283 Emergency department visit for the evaluation and management, moderate severity 20,355 19,877 $1.29M
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 15,546 14,842 $1.14M
71045 Radiologic examination, chest; single view 127,925 97,927 $1.12M
70450 Computed tomography, head or brain; without contrast material 29,040 26,304 $1.04M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 11,932 11,176 $995K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 8,484 7,469 $948K
99215 Prolong outpt/office vis 7,094 6,360 $943K
99239 Hospital discharge day management, more than 30 minutes 11,451 10,514 $897K
01922 3,840 3,526 $873K
95720 3,509 1,726 $852K
99222 Initial hospital care, per day, moderate complexity 7,677 6,711 $792K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years 3,953 1,259 $771K
95951 2,660 1,112 $717K
99238 Hospital discharge day management, 30 minutes or less 13,339 12,098 $706K
99223 Prolong inpt eval add15 m 5,463 4,719 $637K
93320 16,095 15,239 $636K
99479 Subsequent intensive care, per day, very low birth weight infant 4,149 1,366 $565K
71046 Radiologic examination, chest; 2 views 44,482 42,362 $462K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 2,206 769 $431K
76770 11,699 11,564 $386K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 32,781 29,290 $367K
74018 35,511 30,447 $329K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,086 2,057 $276K
96450 1,421 1,256 $250K
76700 Ultrasound, abdominal, real time with image documentation; complete 7,201 7,082 $243K
99460 3,828 3,775 $233K
74176 Computed tomography, abdomen and pelvis; without contrast material 2,984 2,888 $211K
64642 1,681 1,681 $207K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,581 2,542 $203K
70551 Magnetic resonance imaging, brain; without contrast material 2,672 2,405 $198K
Z0100 487 479 $195K
95718 1,133 1,075 $174K
0001A 4,678 4,678 $172K
76705 Ultrasound, abdominal, real time with image documentation; limited 6,531 6,364 $168K
99254 1,948 1,807 $167K
64643 1,627 1,444 $156K
0002A 3,987 3,987 $152K
99309 Subsequent nursing facility care, per day, low to moderate complexity 5,517 5,467 $146K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,923 1,813 $144K
72125 Computed tomography, cervical spine; without contrast material 3,569 3,427 $142K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 583 580 $134K
70498 1,796 1,735 $127K
71275 Computed tomographic angiography, chest, with contrast material 1,690 1,678 $123K
93970 3,450 3,250 $110K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 3,303 3,268 $109K
99231 Subsequent hospital care, per day, straightforward or low complexity 2,953 1,443 $108K
99255 972 858 $107K
76506 4,271 3,670 $98K
71260 Computed tomography, thorax, diagnostic; with contrast material 2,180 2,082 $97K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,087 2,078 $91K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,041 1,897 $90K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 143 142 $89K
76830 Ultrasound, transvaginal 2,581 2,554 $88K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 1,706 1,593 $88K
Z4304 1,460 1,460 $78K
74019 5,755 4,409 $76K
78815 Positron emission tomography (PET) for limited area imaging 451 448 $66K
00920 443 434 $62K
93325 19,032 17,895 $61K
70496 732 693 $55K
99152 1,825 1,678 $54K
99308 Subsequent nursing facility care, per day, straightforward 2,543 2,508 $52K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 497 495 $49K
93000 1,552 1,540 $46K
45380 Colonoscopy, flexible; with biopsy, single or multiple 286 286 $42K
71270 829 768 $42K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,043 1,030 $39K
77427 232 107 $38K
74183 392 386 $37K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 853 804 $37K
99253 616 527 $37K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 222 220 $36K
95251 829 829 $34K
71250 787 723 $34K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 362 321 $32K
99292 158 106 $30K
70486 786 686 $30K
93971 1,651 1,600 $29K
99221 449 416 $26K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 30 29 $25K
01961 85 85 $25K
00840 107 84 $24K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 703 667 $24K
76801 557 539 $23K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 126 126 $21K
0031A 591 591 $20K
77334 114 78 $19K
99476 91 36 $19K
49083 194 157 $16K
76825 233 226 $15K
99153 Mod sedat endo service >5yrs 787 774 $15K
99205 Prolong outpt/office vis 62 62 $15K
93531 37 37 $15K
99462 438 336 $14K
72197 138 137 $14K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 42 42 $14K
74022 804 594 $14K
76536 497 494 $13K
92134 509 483 $13K
92579 248 248 $12K
93304 264 251 $12K
01996 159 72 $12K
77067 Screening mammography, bilateral, including computer-aided detection 203 197 $12K
76818 223 193 $12K
88305 Level IV - Surgical pathology, gross and microscopic examination 179 178 $12K
73630 1,414 1,288 $11K
90961 98 98 $11K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 326 302 $11K
73610 1,045 944 $10K
67028 Intravitreal injection of a pharmacologic agent 89 88 $9K
59025 Fetal non-stress test 303 267 $9K
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy 513 81 $9K
99244 Office or other outpatient consultation, moderate to high complexity 65 65 $9K
31579 55 55 $9K
92567 492 492 $9K
95819 182 180 $9K
74178 104 103 $9K
76937 574 565 $9K
96167 107 84 $8K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 193 188 $8K
93321 401 384 $8K
92060 113 112 $8K
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) 1,331 1,325 $7K
69210 240 238 $7K
51798 184 182 $7K
0012A 200 200 $7K
00731 40 40 $7K
71010 962 664 $7K
92587 290 290 $7K
73130 746 662 $7K
77075 234 219 $6K
96156 62 62 $6K
99468 13 13 $6K
73590 743 651 $6K
99471 12 12 $6K
76827 229 222 $6K
00170 Anesthesia for intraoral procedures, including biopsy 38 37 $6K
76642 196 167 $6K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 41 41 $6K
73030 582 521 $5K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 243 242 $5K
92582 56 56 $5K
72156 40 24 $5K
93227 153 152 $5K
62322 38 38 $5K
93308 118 118 $5K
0011A 210 209 $4K
93975 90 85 $4K
73564 304 268 $4K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 75 66 $4K
00126 42 42 $4K
76776 177 166 $4K
77290 74 59 $4K
71020 454 324 $4K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 48 48 $4K
75574 44 44 $4K
Z0106 44 27 $4K
73090 409 373 $4K
96158 45 25 $3K
76813 57 57 $3K
00142 54 54 $3K
43264 12 12 $3K
94010 245 229 $3K
76870 97 95 $3K
76376 353 349 $3K
92015 Determination of refractive state 218 218 $3K
51600 12 12 $3K
72157 21 12 $3K
99347 88 88 $2K
70491 44 38 $2K
36620 55 54 $2K
67113 12 12 $2K
73562 219 199 $2K
78306 75 72 $2K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 34 29 $2K
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 12 12 $2K
74000 322 253 $2K
90935 Hemodialysis procedure with single evaluation by a physician 44 28 $2K
72082 28 28 $2K
99252 47 25 $2K
72141 31 28 $2K
73110 160 142 $2K
92556 36 36 $2K
72100 182 178 $2K
74170 24 24 $2K
92557 45 45 $2K
52000 26 26 $2K
78708 24 24 $2K
99234 14 13 $1K
93351 20 20 $1K
96168 46 42 $1K
73080 138 129 $1K
73552 123 108 $1K
74174 12 12 $1K
93567 12 12 $1K
73502 72 70 $1K
76641 50 26 $1K
92235 28 28 $1K
94003 21 14 $1K
77300 15 14 $1K
74230 58 57 $1K
74181 15 15 $1K
72170 135 134 $968.31
51784 13 13 $927.42
99243 12 12 $843.87
76820 30 13 $818.27
93248 35 35 $769.10
91010 13 13 $725.47
99305 31 31 $721.79
92083 12 12 $694.65
95816 13 13 $674.92
95117 50 33 $626.20
93228 24 24 $595.74
77001 38 29 $588.79
77014 13 13 $489.36
74455 28 27 $479.16
64447 15 13 $468.46
74021 30 27 $461.25
93976 12 12 $460.09
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 51 51 $446.76
76882 18 17 $441.00
73060 54 52 $440.34
Z0108 13 12 $420.76
76981 15 15 $415.21
76942 13 13 $378.13
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $346.23
43762 14 14 $337.31
92250 12 12 $298.13
70250 25 24 $291.24
92551 16 16 $267.20
74328 13 13 $259.87
93018 13 13 $238.30
77080 20 12 $219.85
70370 13 12 $205.81
99307 35 35 $200.97
93880 12 12 $195.96
88304 12 12 $136.88
81002 86 85 $136.32
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 14 14 $113.96
51741 13 13 $101.53
96110 Developmental screening, with scoring and documentation, per standardized instrument 12 12 $95.84
74010 13 12 $91.48
81003 41 39 $72.98
G8510 Screening for depression is documented as negative, a follow-up plan is not required 747 711 $0.00
1036F 133 131 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 103 102 $0.00
99318 63 63 $0.00
G9664 Patients who are currently statin therapy users or received an order (prescription) for statin therapy 14 14 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 60 60 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 80 80 $0.00
G8598 Aspirin or another antiplatelet therapy used 12 12 $0.00
G8484 Influenza immunization was not administered, reason not given 80 80 $0.00
3078F 12 12 $0.00