Faculty Physicians and Surgeons of Llusm
Faculty Physicians and Surgeons of Llusm was paid $66.40M by Medicaid between Jan 2018 and Dec 2024, across 264 billing codes. Its largest line is 99285, emergency room visit (most serious) — 15% of everything it billed.
LOMA LINDA, CA 92350
Next to other Internal Medicine Physician providers in California
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.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 139,991 | $10.24M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 15% | 69,028 | 65,895 | $10.00M |
| 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 | 9.5% | 67,018 | 62,137 | $6.34M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.0% | 106,033 | 50,012 | $5.28M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 6.2% | 38,451 | 37,586 | $4.10M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 5.5% | 13,056 | 6,386 | $3.65M |
| Z0102 | 3.8% | 12,969 | 3,982 | $2.53M | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.8% | 38,442 | 14,692 | $2.52M |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 3.8% | 19,449 | 6,408 | $2.51M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.4% | 38,007 | 33,551 | $2.27M |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 2.6% | 22,148 | 21,441 | $1.71M |
| Z0104 | 2.6% | 12,305 | 3,770 | $1.70M | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.9% | 20,355 | 19,877 | $1.29M |
252 more codes
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 1.7% | 15,546 | $1.14M |
| 71045 | Radiologic examination, chest; single view | 1.7% | 127,925 | $1.12M |
| 70450 | Computed tomography, head or brain; without contrast material | 1.6% | 29,040 | $1.04M |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.5% | 11,932 | $995K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | 1.4% | 8,484 | $948K |
| 99215 | Doctor's office visit, returning patient (complex) | 1.4% | 7,094 | $943K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.4% | 11,451 | $897K |
| 01922 | 1.3% | 3,840 | $873K | |
| 95720 | 1.3% | 3,509 | $852K | |
| 99222 | Initial hospital care, per day, moderate complexity | 1.2% | 7,677 | $792K |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 1.2% | 3,953 | $771K |
| 95951 | 1.1% | 2,660 | $717K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.1% | 13,339 | $706K |
| 99223 | Prolong inpt eval add15 m | <1% | 5,463 | $637K |
| 93320 | <1% | 16,095 | $636K | |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 4,149 | $565K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 44,482 | $462K |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | <1% | 2,206 | $431K |
| 76770 | <1% | 11,699 | $386K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 32,781 | $367K |
| 74018 | <1% | 35,511 | $329K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 2,086 | $276K |
| 96450 | <1% | 1,421 | $250K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 7,201 | $243K |
| 99460 | <1% | 3,828 | $233K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 2,984 | $211K |
| 64642 | <1% | 1,681 | $207K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,581 | $203K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 2,672 | $198K |
| Z0100 | <1% | 487 | $195K | |
| 95718 | <1% | 1,133 | $174K | |
| 0001A | <1% | 4,678 | $172K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 6,531 | $168K |
| 99254 | <1% | 1,948 | $167K | |
| 64643 | <1% | 1,627 | $156K | |
| 0002A | <1% | 3,987 | $152K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 5,517 | $146K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,923 | $144K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 3,569 | $142K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 583 | $134K |
| 70498 | <1% | 1,796 | $127K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 1,690 | $123K |
| 93970 | <1% | 3,450 | $110K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 3,303 | $109K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 2,953 | $108K |
| 99255 | <1% | 972 | $107K | |
| 76506 | <1% | 4,271 | $98K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 2,180 | $97K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 2,087 | $91K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,041 | $90K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 143 | $89K |
| 76830 | Ultrasound, transvaginal | <1% | 2,581 | $88K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 1,706 | $88K |
| Z4304 | <1% | 1,460 | $78K | |
| 74019 | <1% | 5,755 | $76K | |
| 78815 | Positron emission tomography (PET) for limited area imaging | <1% | 451 | $66K |
| 00920 | <1% | 443 | $62K | |
| 93325 | <1% | 19,032 | $61K | |
| 70496 | <1% | 732 | $55K | |
| 99152 | <1% | 1,825 | $54K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 2,543 | $52K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 497 | $49K |
| 93000 | <1% | 1,552 | $46K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 286 | $42K |
| 71270 | <1% | 829 | $42K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,043 | $39K |
| 77427 | <1% | 232 | $38K | |
| 74183 | <1% | 392 | $37K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 853 | $37K |
| 99253 | <1% | 616 | $37K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 222 | $36K |
| 95251 | <1% | 829 | $34K | |
| 71250 | <1% | 787 | $34K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 362 | $32K |
| 99292 | <1% | 158 | $30K | |
| 70486 | <1% | 786 | $30K | |
| 93971 | <1% | 1,651 | $29K | |
| 99221 | <1% | 449 | $26K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 30 | $25K |
| 01961 | <1% | 85 | $25K | |
| 00840 | <1% | 107 | $24K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 703 | $24K |
| 76801 | <1% | 557 | $23K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 126 | $21K |
| 0031A | <1% | 591 | $20K | |
| 77334 | <1% | 114 | $19K | |
| 99476 | <1% | 91 | $19K | |
| 49083 | <1% | 194 | $16K | |
| 76825 | <1% | 233 | $15K | |
| 99153 | Mod sedat endo service >5yrs | <1% | 787 | $15K |
| 99205 | Prolong outpt/office vis | <1% | 62 | $15K |
| 93531 | <1% | 37 | $15K | |
| 99462 | <1% | 438 | $14K | |
| 72197 | <1% | 138 | $14K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 42 | $14K |
| 74022 | <1% | 804 | $14K | |
| 76536 | <1% | 497 | $13K | |
| 92134 | <1% | 509 | $13K | |
| 92579 | <1% | 248 | $12K | |
| 93304 | <1% | 264 | $12K | |
| 01996 | <1% | 159 | $12K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 203 | $12K |
| 76818 | <1% | 223 | $12K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 179 | $12K |
| 73630 | <1% | 1,414 | $11K | |
| 90961 | <1% | 98 | $11K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 326 | $11K |
| 73610 | <1% | 1,045 | $10K | |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 89 | $9K |
| 59025 | Fetal non-stress test | <1% | 303 | $9K |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | <1% | 513 | $9K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 65 | $9K |
| 31579 | <1% | 55 | $9K | |
| 92567 | <1% | 492 | $9K | |
| 95819 | <1% | 182 | $9K | |
| 74178 | <1% | 104 | $9K | |
| 76937 | <1% | 574 | $9K | |
| 96167 | <1% | 107 | $8K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 193 | $8K |
| 93321 | <1% | 401 | $8K | |
| 92060 | <1% | 113 | $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% | 1,331 | $7K |
| 69210 | <1% | 240 | $7K | |
| 51798 | <1% | 184 | $7K | |
| 0012A | <1% | 200 | $7K | |
| 00731 | <1% | 40 | $7K | |
| 71010 | <1% | 962 | $7K | |
| 92587 | <1% | 290 | $7K | |
| 73130 | <1% | 746 | $7K | |
| 77075 | <1% | 234 | $6K | |
| 96156 | <1% | 62 | $6K | |
| 99468 | <1% | 13 | $6K | |
| 73590 | <1% | 743 | $6K | |
| 99471 | <1% | 12 | $6K | |
| 76827 | <1% | 229 | $6K | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 38 | $6K |
| 76642 | <1% | 196 | $6K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 41 | $6K |
| 73030 | <1% | 582 | $5K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 243 | $5K |
| 92582 | <1% | 56 | $5K | |
| 72156 | <1% | 40 | $5K | |
| 93227 | <1% | 153 | $5K | |
| 62322 | <1% | 38 | $5K | |
| 93308 | <1% | 118 | $5K | |
| 0011A | <1% | 210 | $4K | |
| 93975 | <1% | 90 | $4K | |
| 73564 | <1% | 304 | $4K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 75 | $4K |
| 00126 | <1% | 42 | $4K | |
| 76776 | <1% | 177 | $4K | |
| 77290 | <1% | 74 | $4K | |
| 71020 | <1% | 454 | $4K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 48 | $4K |
| 75574 | <1% | 44 | $4K | |
| Z0106 | <1% | 44 | $4K | |
| 73090 | <1% | 409 | $4K | |
| 96158 | <1% | 45 | $3K | |
| 76813 | <1% | 57 | $3K | |
| 00142 | <1% | 54 | $3K | |
| 43264 | <1% | 12 | $3K | |
| 94010 | <1% | 245 | $3K | |
| 76870 | <1% | 97 | $3K | |
| 76376 | <1% | 353 | $3K | |
| 92015 | Determination of refractive state | <1% | 218 | $3K |
| 51600 | <1% | 12 | $3K | |
| 72157 | <1% | 21 | $3K | |
| 99347 | <1% | 88 | $2K | |
| 70491 | <1% | 44 | $2K | |
| 36620 | <1% | 55 | $2K | |
| 67113 | <1% | 12 | $2K | |
| 73562 | <1% | 219 | $2K | |
| 78306 | <1% | 75 | $2K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 34 | $2K |
| G0121 | Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | <1% | 12 | $2K |
| 74000 | <1% | 322 | $2K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 44 | $2K |
| 72082 | <1% | 28 | $2K | |
| 99252 | <1% | 47 | $2K | |
| 72141 | <1% | 31 | $2K | |
| 73110 | <1% | 160 | $2K | |
| 92556 | <1% | 36 | $2K | |
| 72100 | <1% | 182 | $2K | |
| 74170 | <1% | 24 | $2K | |
| 92557 | <1% | 45 | $2K | |
| 52000 | <1% | 26 | $2K | |
| 78708 | <1% | 24 | $2K | |
| 99234 | <1% | 14 | $1K | |
| 93351 | <1% | 20 | $1K | |
| 96168 | <1% | 46 | $1K | |
| 73080 | <1% | 138 | $1K | |
| 73552 | <1% | 123 | $1K | |
| 74174 | <1% | 12 | $1K | |
| 93567 | <1% | 12 | $1K | |
| 73502 | <1% | 72 | $1K | |
| 76641 | <1% | 50 | $1K | |
| 92235 | <1% | 28 | $1K | |
| 94003 | <1% | 21 | $1K | |
| 77300 | <1% | 15 | $1K | |
| 74230 | <1% | 58 | $1K | |
| 74181 | <1% | 15 | $1K | |
| 72170 | <1% | 135 | $968.31 | |
| 51784 | <1% | 13 | $927.42 | |
| 99243 | <1% | 12 | $843.87 | |
| 76820 | <1% | 30 | $818.27 | |
| 93248 | <1% | 35 | $769.10 | |
| 91010 | <1% | 13 | $725.47 | |
| 99305 | <1% | 31 | $721.79 | |
| 92083 | <1% | 12 | $694.65 | |
| 95816 | <1% | 13 | $674.92 | |
| 95117 | <1% | 50 | $626.20 | |
| 93228 | <1% | 24 | $595.74 | |
| 77001 | <1% | 38 | $588.79 | |
| 77014 | <1% | 13 | $489.36 | |
| 74455 | <1% | 28 | $479.16 | |
| 64447 | <1% | 15 | $468.46 | |
| 74021 | <1% | 30 | $461.25 | |
| 93976 | <1% | 12 | $460.09 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 51 | $446.76 |
| 76882 | <1% | 18 | $441.00 | |
| 73060 | <1% | 54 | $440.34 | |
| Z0108 | <1% | 13 | $420.76 | |
| 76981 | <1% | 15 | $415.21 | |
| 76942 | <1% | 13 | $378.13 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $346.23 |
| 43762 | <1% | 14 | $337.31 | |
| 92250 | <1% | 12 | $298.13 | |
| 70250 | <1% | 25 | $291.24 | |
| 92551 | <1% | 16 | $267.20 | |
| 74328 | <1% | 13 | $259.87 | |
| 93018 | <1% | 13 | $238.30 | |
| 77080 | <1% | 20 | $219.85 | |
| 70370 | <1% | 13 | $205.81 | |
| 99307 | <1% | 35 | $200.97 | |
| 93880 | <1% | 12 | $195.96 | |
| 88304 | <1% | 12 | $136.88 | |
| 81002 | <1% | 86 | $136.32 | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 14 | $113.96 |
| 51741 | <1% | 13 | $101.53 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $95.84 |
| 74010 | <1% | 13 | $91.48 | |
| 81003 | <1% | 41 | $72.98 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 747 | $0.00 |
| 1036F | 0% | 133 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 103 | $0.00 |
| 99318 | 0% | 63 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 14 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 60 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 80 | $0.00 |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 12 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 80 | $0.00 |
| 3078F | 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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.