Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Faculty Physicians And Surgeons Of Llusm (NPI 1275583205)

Faculty Physicians And Surgeons Of Llusm is a surgery physician provider located in Loma Linda, California. This profile covers 0 Medicare and 344 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Faculty Physicians And Surgeons Of Llusm
Address	11370 Anderson St
City	Loma Linda
State	CA
ZIP	92354
Taxonomy	Surgery Physician
NPI Enumerated	May 11, 2006

Payer Source	Total Paid
Medicaid	$54.9M
Medicare	$0

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

344 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	79,240	$80	$6.3M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	29,940	$150	$4.5M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	68,640	$60	$4.4M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	33,840	$70	$2.4M
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	18,680	$120	$2.2M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	36,310	$60	$2.1M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	35,580	$50	$1.9M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	12,380	$150	$1.8M
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	12,380	$140	$1.7M
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	16,630	$100	$1.6M

Showing 1–10 of 344

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

Claims Volume vs. California Distribution

Faculty Physicians And Surgeons Of Llusm — 13 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

344 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	Injection, aflibercept, 1 mg	98	120	380	$970	$1.1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	313	1,570	680	$110	$1.1M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	132	1,300	510	$100	$943K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	226	1,400	470	$80	$884.5K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	304	340	340	$300	$846K
78815	PET and CT scans are both standard imaging tools that allow doctors to evaluate the location and metabolic actions of tumors or cancer inside the body before beginning an active treatment regimen.…	44	230	270	$840	$717.2K
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	47	780	1,160	$130	$576.2K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	77	360	840	$160	$495.3K
90960	The provider manages all the services associated with the monthly care of a patient who is 20 years old or older and has a condition known as end stage renal disease or ESRD. For this service, the…	131	360	880	$130	$408.5K
J0585	Injection, onabotulinumtoxina, 1 unit	32	110	260	$590	$407.4K

Showing 1–10 of 344

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Seventh-day Adventists Loma Linda University Medical Center	CA	General Acute Care Hospital	$0	$253.4M
Faculty Physicians And Surgeons Of Llusm	CA	Pediatrics Physician	$0	$66.4M
Victor Shi	CA	Vascular & Interventional Radiology Physician	$2.2M	$280
Ari Katerelos	GU	Radiation Oncology Physician	$2.1M	$0
Samuel Kim	CA	Retina Specialist (Ophthalmology) Physician	$1.5M	$0
Nasim Daoud	NV	Rheumatology Physician	$1.3M	$0
Brandon Burk	CA	Diagnostic Radiology Physician	$917.3K	$0
Kourosh Naeini	CA	Diagnostic Radiology Physician	$709.1K	$120
Lynn Huang	CA	Ophthalmology Physician	$609.2K	$8K
Nilofar Firooznia	CA	Diagnostic Radiology Physician	$516.5K	$76.7K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scott Somers	CA	Diagnostic Radiology Physician	$878.2K	$0
Eddie Lares	CA	Emergency Medicine Physician	$353.5K	$0
Ali Mehdizadeh	CA	Critical Care Medicine (Anesthesiology) Physician	$265.5K	$0
Kakarla Chalam	CA	Ophthalmology Physician	$255.9K	$0
Fred Soeprono	CA	Dermatology Physician	$235K	$0
Rian Nina Jaffer	CA	Physician Assistant	$197.4K	$0
William May	CA	Ophthalmology Physician	$191.6K	$0
Michael Wright	CA	Orthopaedic Surgery Physician	$168.3K	$0
Khashayar Dashtipour	CA	Neurology Physician	$161.5K	$0
Christopher Church	CA	Otolaryngology Physician	$137.2K	$0

Faculty Physicians And Surgeons Of Llusm — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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