Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Highland › NPI 1689624991
Physician

Faculty Physicians and Surgeons of Llusm

Faculty Physicians and Surgeons of Llusm was paid $95K by Medicaid between Jan 2018 and Jun 2022, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.

33Billing provider infoFACULTY PHYSICIANS AND SURGEONS OF LLUSM
HIGHLAND, CA 92346
33aNPI1689624991assigned 05/10/2006
33bProvider typePediatrics Physician
28Total paid$95K
24GClaims15,116
24DCodes billed22
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#489 of 1,490
Median peer was paid$15K
This provider vs. median6.4×

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$2.0K$4.0K2018201920202021202220232024
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
20183,609$24K
20192,539$19K
20202,816$23K
20213,840$21K
20222,312$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 49% 4,853 4,678 $46K
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 25% 2,438 2,383 $24K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.6% 805 801 $6K
92551 4.8% 415 411 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.7% 462 460 $4K
G9920 Screening performed and negative 3.6% 1,474 1,473 $3K
90686 2.3% 2,098 2,090 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.5% 255 246 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.4% 39 38 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.1% 80 80 $1K
90670 <1% 133 132 $422.82
90648 <1% 137 135 $342.00
10 more codes
90723 <1% 36 $108.00
85018 <1% 306 $81.85
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 25 $59.90
90633 <1% 12 $9.00
99173 <1% 976 $2.50
96161 0% 255 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 214 $0.00
90461 0% 76 $0.00
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 0% 13 $0.00
99177 0% 14 $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 officialPEVERINI, RICARDO (PRESIDENT)
Same official

Other billing entities under PEVERINI, RICARDO

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.