Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Frank R. Lusher, M.D., INC.

Frank R. Lusher, M.D., INC. was paid $1.44M by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 96922, — 19% of everything it billed.

33Billing provider infoFRANK R. LUSHER, M.D., INC.
MISSION HILLS, CA 91345
33aNPI1932432929assigned 09/09/2009
33bProvider typeSpecialist
28Total paid$1.44M
24GClaims41,050
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Specialist providers in California

Rank by total paid#146 of 1,230
Median peer was paid$51K
This provider vs. median28×

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$20K$40K2018201920202021202220232024
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
20183,081$51K
20195,243$187K
20205,763$244K
20216,185$251K
20227,886$299K
20237,752$274K
2024incomplete5,140$138K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
96922 19% 2,242 1,459 $275K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 16% 15,317 15,168 $226K
17111 14% 2,811 2,789 $196K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 11% 3,772 3,758 $158K
11106 9.7% 1,606 1,599 $140K
17004 8.9% 1,633 1,614 $128K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8.6% 3,773 3,769 $124K
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 5.4% 3,852 3,674 $78K
11901 3.0% 2,494 2,474 $44K
17110 1.5% 519 517 $21K
99243 1.1% 926 926 $16K
11107 <1% 432 323 $11K
7 more codes
11102 <1% 166 $11K
99205 Prolong outpt/office vis <1% 63 $5K
11104 <1% 56 $4K
11100 <1% 114 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 1,229 $2K
11403 <1% 17 $1K
99244 Office or other outpatient consultation, moderate to high complexity <1% 28 $1K

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 officialDELGADILLO, EVELYN (OFFICE MANAGER/CFO)