Loma Linda University Children's Hospital
General Acute Care Hospital Children
Loma Linda, California
NPI: 1366866345
Risk Tier
Elevated
Total Paid
$107.1M
$107,098,821
Total Claims
1.3M
Beneficiaries
1.0M
Avg Cost/Claim
$85.31
Statistical Fraud Flags (1)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $826.76 per claim for 99283 (Emergency dept visit, moderate complexity), which is 19.5× the national median of $42.48.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024