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FACULTY PHYSICIANS AND SURGEONS OF LLUSM

Surgery·LOMA LINDA, CA·NPI: 1275583205Share

Compared to Surgery Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $54.9M is at the 25th percentile among 8 Surgery providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$54.9M

$54,909,900

Total Claims

924K

Beneficiaries

835K

1.1 claims/patient

Avg Cost/Claim

$59

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+355%
2019
$7.2M
+5%
2020
$7.6M
+44%
2021
$11.0M
+22%
2022
$13.4M
+4%
2023
$13.9M
-99%
2024
$183K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99214 (Office/outpatient visit, est. patient, mod-high complexity)) accounts for 12% of total spending.

99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$6.3M

79K claims · 11.6%

Your Cost: $80.07/claim|Median: $53.41
1.5× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$4.5M

30K claims · 8.1%

Your Cost: $148.97/claim|Median: $85.65
1.7× median
99213Top 25%

Office/outpatient visit, est. patient, low-mod complexity

$4.4M

69K claims · 8.0%

Your Cost: $63.62/claim|Median: $37.81
1.7× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$2.4M

34K claims · 4.4%

Your Cost: $71.77/claim|Median: $35.30
2.0× median
99284Top 25%

Emergency dept visit, high complexity

$2.2M

19K claims · 4.1%

Your Cost: $119.62/claim|Median: $69.51
1.7× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$2.1M

36K claims · 3.8%

Your Cost: $57.53/claim|Median: $54.68
1.1× median
99232Top 10%

Subsequent hospital care, per day, moderate complexity

$1.9M

36K claims · 3.5%

Your Cost: $53.29/claim|Median: $23.99
2.2× median
99223Top 10%

Initial hospital care, per day, high complexity

$1.8M

12K claims · 3.3%

Your Cost: $145.01/claim|Median: $67.32
2.2× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$1.7M

12K claims · 3.1%

Your Cost: $139.07/claim|Median: $84.03
1.7× median
99203Top 25%

Office/outpatient visit, new patient, low-mod complexity

$1.6M

17K claims · 2.9%

Your Cost: $94.53/claim|Median: $57.85
1.6× median
99215Top 25%

Office/outpatient visit, high complexity

$1.4M

13K claims · 2.6%

Your Cost: $109.30/claim|Median: $74.09
1.5× median
88305Top 25%

Surgical pathology, gross and microscopic examination

$1.4M

20K claims · 2.5%

Your Cost: $70.40/claim|Median: $35.80
2.0× median
74177Normal range

CT abdomen and pelvis with contrast

$1.3M

16K claims · 2.3%

Your Cost: $77.16/claim|Median: $65.76
1.2× median
99291Top 25%

Critical care, first 30-74 minutes

$1.2M

7,429 claims · 2.2%

Your Cost: $166.26/claim|Median: $101.24
1.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$911K

13K claims · 1.7%

Your Cost: $71.18/claim|Median: $42.48
1.7× median
70450Normal range

CT head/brain without contrast

$718K

21K claims · 1.3%

Your Cost: $33.87/claim|Median: $45.53
0.7× median
01967Top 5%

Anesthesia, neuraxial labor analgesia/delivery

$674K

838 claims · 1.2%

Your Cost: $804.51/claim|Median: $283.78
2.8× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$643K

7,183 claims · 1.2%

Your Cost: $89.48/claim|Median: $47.08
1.9× median
77067Normal range

Screening mammography, bilateral, including CAD

$639K

8,722 claims · 1.2%

Your Cost: $73.27/claim|Median: $39.33
1.9× median
88307Top 25%

Surgical pathology, gross and microscopic, complex

$570K

6,066 claims · 1.0%

Your Cost: $94.02/claim|Median: $59.38
1.6× median
71045Top 25%

Chest X-ray, single view

$555K

71K claims · 1.0%

Your Cost: $7.78/claim|Median: $4.93
1.6× median
70553Normal range

MRI brain without contrast, then with contrast

$546K

5,089 claims · 1.0%

Your Cost: $107.25/claim|Median: $133.68
0.8× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$522K

5,151 claims · 1.0%

Your Cost: $101.31/claim|Median: $51.25
2.0× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$452K

8,636 claims · 0.8%

Your Cost: $52.32/claim|Median: $37.22
1.4× median
93010Top 25%

Electrocardiogram, interpretation and report only

$445K

58K claims · 0.8%

Your Cost: $7.73/claim|Median: $5.60
1.4× median
31231Top 25%

Nasal endoscopy, diagnostic

$444K

2,739 claims · 0.8%

Your Cost: $161.94/claim|Median: $98.77
1.6× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$386K

4,746 claims · 0.7%

Your Cost: $81.32/claim|Median: $43.85
1.9× median
J0585Normal range

Injection, onabotulinumtoxinA, 1 unit

$353K

827 claims · 0.6%

Your Cost: $426.60/claim|Median: $470.36
0.9× median
71046Normal range

Chest X-ray, 2 views

$344K

31K claims · 0.6%

Your Cost: $11.16/claim|Median: $8.92
1.3× median
92134Top 25%

$333K

12K claims · 0.6%

Your Cost: $27.23/claim|Median: $15.46
1.8× median
67113Normal range

$327K

327 claims · 0.6%

Your Cost: $1,001.40/claim|Median: $824.94
1.2× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$323K

5,013 claims · 0.6%

Your Cost: $64.38/claim|Median: $62.48
1.0× median
67028Normal range

Intravitreal injection of a pharmacologic agent

$306K

3,498 claims · 0.6%

Your Cost: $87.55/claim|Median: $58.82
1.5× median
69436Normal range

Tympanostomy, general anesthesia

$285K

1,893 claims · 0.5%

Your Cost: $150.61/claim|Median: $205.50
0.7× median
76856Normal range

Ultrasound, pelvic, complete

$281K

4,594 claims · 0.5%

Your Cost: $61.18/claim|Median: $47.58
1.3× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$279K

1,203 claims · 0.5%

Your Cost: $232.16/claim|Median: $255.17
0.9× median
78815Normal range

PET imaging for limited area

$266K

1,366 claims · 0.5%

Your Cost: $194.38/claim|Median: $325.10
0.6× median
99212Normal range

Office/outpatient visit, low complexity

$264K

7,239 claims · 0.5%

Your Cost: $36.45/claim|Median: $25.06
1.5× median
31579Normal range

$246K

1,667 claims · 0.4%

Your Cost: $147.70/claim|Median: $120.24
1.2× median
76700Normal range

Ultrasound, abdominal, complete

$245K

4,255 claims · 0.4%

Your Cost: $57.65/claim|Median: $50.69
1.1× median
90960Top 25%

End-stage renal disease services, per month, age 20+

$226K

1,696 claims · 0.4%

Your Cost: $133.35/claim|Median: $52.76
2.5× median
92557Normal range

Comprehensive audiometry, air, bone, and speech testing

$219K

6,764 claims · 0.4%

Your Cost: $32.36/claim|Median: $27.28
1.2× median
76830Normal range

Ultrasound, transvaginal

$215K

3,229 claims · 0.4%

Your Cost: $66.57/claim|Median: $57.47
1.2× median
44970Normal range

$215K

382 claims · 0.4%

Your Cost: $562.08/claim|Median: $1,699.18
0.3× median
99231Top 10%

Subsequent hospital care, per day, low complexity

$210K

6,224 claims · 0.4%

Your Cost: $33.70/claim|Median: $16.77
2.0× median
92567Top 25%

$209K

14K claims · 0.4%

Your Cost: $14.47/claim|Median: $11.50
1.3× median
74176Normal range

CT abdomen and pelvis without contrast

$199K

2,781 claims · 0.4%

Your Cost: $71.58/claim|Median: $60.19
1.2× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$198K

1,696 claims · 0.4%

Your Cost: $116.75/claim|Median: $233.73
0.5× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$197K

809 claims · 0.4%

Your Cost: $243.84/claim|Median: $331.68
0.7× median
76816Normal range

Ultrasound, pregnant uterus, follow-up

$192K

4,107 claims · 0.3%

Your Cost: $46.79/claim|Median: $58.55
0.8× median

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$1.40B

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$1.13B

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