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FACULTY PHYSICIANS AND SURGEONS OF LLUSM

Pediatrics·LOMA LINDA, CA·NPI: 1477503407Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $66.4M is at the 25th percentile among 14 Pediatrics providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$66.4M

$66,402,205

Total Claims

1.0M

Beneficiaries

809K

1.3 claims/patient

Avg Cost/Claim

$66

Monthly Spending Trend

Yearly Spending

2018
$13.5M
-33%
2019
$9.1M
-24%
2020
$6.9M
+20%
2021
$8.3M
-7%
2022
$7.7M
+35%
2023
$10.5M
-2%
2024
$10.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99285 (Emergency dept visit, high/urgent complexity)) accounts for 15% of total spending.

99285Top 25%

Emergency dept visit, high/urgent complexity

$10.0M

69K claims · 15.1%

Your Cost: $144.80/claim|Median: $85.65
1.7× median
99214Top 25%

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

$6.3M

67K claims · 9.5%

Your Cost: $94.55/claim|Median: $53.41
1.8× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$5.3M

106K claims · 8.0%

Your Cost: $49.83/claim|Median: $23.99
2.1× median
99284Top 25%

Emergency dept visit, high complexity

$4.1M

38K claims · 6.2%

Your Cost: $106.68/claim|Median: $69.51
1.5× median
99291Top 10%

Critical care, first 30-74 minutes

$3.6M

13K claims · 5.5%

Your Cost: $279.32/claim|Median: $101.24
2.8× median
Z0102Normal range

$2.5M

13K claims · 3.8%

Your Cost: $195.34/claim|Median: $193.72
1.0× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$2.5M

38K claims · 3.8%

Your Cost: $65.44/claim|Median: $35.30
1.9× median
99480Top 10%

Subsequent intensive care, very low birth weight infant

$2.5M

19K claims · 3.8%

Your Cost: $129.23/claim|Median: $98.15
1.3× median
99213Top 25%

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

$2.3M

38K claims · 3.4%

Your Cost: $59.75/claim|Median: $37.81
1.6× median
74177Normal range

CT abdomen and pelvis with contrast

$1.7M

22K claims · 2.6%

Your Cost: $77.19/claim|Median: $65.76
1.2× median
Z0104Normal range

$1.7M

12K claims · 2.6%

Your Cost: $137.86/claim|Median: $141.22
1.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.3M

20K claims · 1.9%

Your Cost: $63.38/claim|Median: $42.48
1.5× median
93303Normal range

Echocardiography, transthoracic, limited

$1.1M

16K claims · 1.7%

Your Cost: $73.33/claim|Median: $112.83
0.6× median
71045Top 25%

Chest X-ray, single view

$1.1M

128K claims · 1.7%

Your Cost: $8.72/claim|Median: $4.93
1.8× median
70450Normal range

CT head/brain without contrast

$1.0M

29K claims · 1.6%

Your Cost: $35.93/claim|Median: $45.53
0.8× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$995K

12K claims · 1.5%

Your Cost: $83.43/claim|Median: $54.68
1.5× median
70553Normal range

MRI brain without contrast, then with contrast

$948K

8,484 claims · 1.4%

Your Cost: $111.77/claim|Median: $133.68
0.8× median
99215Top 25%

Office/outpatient visit, high complexity

$943K

7,094 claims · 1.4%

Your Cost: $132.87/claim|Median: $74.09
1.8× median
99239Top 25%

Hospital discharge day management, more than 30 minutes

$897K

11K claims · 1.4%

Your Cost: $78.31/claim|Median: $43.85
1.8× median
01922Top 25%

$873K

3,840 claims · 1.3%

Your Cost: $227.44/claim|Median: $166.77
1.4× median
95720Top 10%

$852K

3,509 claims · 1.3%

Your Cost: $242.71/claim|Median: $120.95
2.0× median
99222Top 10%

Initial hospital care, per day, moderate complexity

$792K

7,677 claims · 1.2%

Your Cost: $103.23/claim|Median: $51.25
2.0× median
99472Normal range

Subsequent pediatric critical care, per day, age 2-5

$771K

3,953 claims · 1.2%

Your Cost: $195.10/claim|Median: $307.98
0.6× median
95951Normal range

$717K

2,660 claims · 1.1%

Your Cost: $269.65/claim|Median: $183.28
1.5× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$706K

13K claims · 1.1%

Your Cost: $52.90/claim|Median: $37.22
1.4× median
99223Top 25%

Initial hospital care, per day, high complexity

$637K

5,463 claims · 1.0%

Your Cost: $116.68/claim|Median: $67.32
1.7× median
93320Normal range

$636K

16K claims · 1.0%

Your Cost: $39.54/claim|Median: $28.68
1.4× median
99479Top 25%

Subsequent intensive care, 2,501-5,000 grams

$565K

4,149 claims · 0.9%

Your Cost: $136.13/claim|Median: $103.70
1.3× median
71046Normal range

Chest X-ray, 2 views

$462K

44K claims · 0.7%

Your Cost: $10.38/claim|Median: $8.92
1.2× median
99469Normal range

Subsequent intensive care, very low birth weight infant

$431K

2,206 claims · 0.6%

Your Cost: $195.38/claim|Median: $293.45
0.7× median
76770Normal range

Ultrasound, retroperitoneal, complete

$386K

12K claims · 0.6%

Your Cost: $33.02/claim|Median: $37.35
0.9× median
93010Top 10%

Electrocardiogram, interpretation and report only

$367K

33K claims · 0.6%

Your Cost: $11.20/claim|Median: $5.60
2.0× median
74018Normal range

$329K

36K claims · 0.5%

Your Cost: $9.27/claim|Median: $7.00
1.3× median
99204Top 25%

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

$276K

2,086 claims · 0.4%

Your Cost: $132.49/claim|Median: $84.03
1.6× median
96450Normal range

$250K

1,421 claims · 0.4%

Your Cost: $175.79/claim|Median: $174.39
1.0× median
76700Normal range

Ultrasound, abdominal, complete

$243K

7,201 claims · 0.4%

Your Cost: $33.77/claim|Median: $50.69
0.7× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$233K

3,828 claims · 0.4%

Your Cost: $60.96/claim|Median: $62.48
1.0× median
74176Normal range

CT abdomen and pelvis without contrast

$211K

2,984 claims · 0.3%

Your Cost: $70.73/claim|Median: $60.19
1.2× median
64642Normal range

$207K

1,681 claims · 0.3%

Your Cost: $123.12/claim|Median: $81.85
1.5× median
99203Top 25%

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

$203K

2,581 claims · 0.3%

Your Cost: $78.65/claim|Median: $57.85
1.4× median
70551Normal range

MRI brain without contrast

$198K

2,672 claims · 0.3%

Your Cost: $73.95/claim|Median: $85.39
0.9× median
Z0100Top 25%

$195K

487 claims · 0.3%

Your Cost: $400.58/claim|Median: $387.19
1.0× median
95718Top 25%

$174K

1,133 claims · 0.3%

Your Cost: $153.15/claim|Median: $78.85
1.9× median
0001ANormal range

COVID-19 vaccine admin, Pfizer, 1st dose

$172K

4,678 claims · 0.3%

Your Cost: $36.70/claim|Median: $33.72
1.1× median
76705Normal range

Ultrasound, abdominal, limited

$168K

6,531 claims · 0.3%

Your Cost: $25.75/claim|Median: $23.81
1.1× median
99254Normal range

$167K

1,948 claims · 0.3%

Your Cost: $85.85/claim|Median: $81.43
1.1× median
64643Normal range

$156K

1,627 claims · 0.2%

Your Cost: $96.00/claim|Median: $58.21
1.6× median
0002ANormal range

COVID-19 vaccine admin, Pfizer, 2nd dose

$152K

3,987 claims · 0.2%

Your Cost: $38.03/claim|Median: $36.70
1.0× median
99309Top 25%

Nursing facility care, subsequent, low complexity

$146K

5,517 claims · 0.2%

Your Cost: $26.50/claim|Median: $14.00
1.9× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$144K

1,923 claims · 0.2%

Your Cost: $74.85/claim|Median: $69.35
1.1× median

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$1.73B

County of Riverside

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$1.40B

City & County of San Francisco

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$1.34B

Los Angeles County Department of Public Health

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$1.13B

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