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    OpenPayerNPI Medicare & MedicaidLpch Medical Group Div Of Lucile
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    Lpch Medical Group Div Of Lucile — Billing Profile & Reimbursement Data

    NPI 1417907940 · Palo Alto, CA · Children's Hospital

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    Lpch Medical Group Div Of Lucile is a children's hospital provider located in Palo Alto, California. This profile covers 0 Medicare and 223 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationLpch Medical Group Div Of Lucile
    Address725 Welch Rd
    CityPalo Alto
    StateCA
    ZIP94304
    TaxonomyChildren's Hospital
    NPI EnumeratedMay 12, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$40.9M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    223 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…62,080$130$8.1M
    99214The 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…87,940$70$5.9M
    99213The 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…90,400$40$3.2M
    93306The 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…14,520$160$2.3M
    93303The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…18,030$120$2.2M
    99233The 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…23,090$70$1.7M
    99244The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…9,530$160$1.5M
    76811The provider performs an ultrasound study using a transabdominal approach to examine the fetus and mother, along with additional examination of the fetal anatomy, such as the heart rate, amniotic…8,600$150$1.3M
    76816The provider reexamines the fetus to follow up on a prior abnormal transabdominal ultrasound.17,230$70$1.2M
    93320The provider performs a complete Doppler echocardiography, which uses high–frequency sound waves to create a two–dimensional image of the heart, while the use of Doppler technology allows…19,180$50$940K

    Showing 1–10 of 223

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    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. California median

    223 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    U00042019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by…110150580$60$608.7K
    Z0102N/A33401,740$210$562.8K
    Z4300N/A19301,430$100$510.3K
    99469The provider evaluates and manages the subsequent care of a newborn or infant less than 28 days of age in a neonatal critical care setting, after the first day.37501,160$240$473.1K
    99480The provider directs the care of a recovering low birth weight infant, whose current weight is between 2501 and 5000 grams.34601,070$140$402.6K
    95144In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more single dose vials.641101,020$100$391.5K
    Z0104N/A31401,130$160$379K
    92507The provider treats a patient with communication and hearing difficulties by directly interacting with the patient. He assesses the patient with impairment in his ability to make sounds, along with…6179601,820$50$351.9K
    93303The provider performs a complete transthoracic echocardiography to obtain images of the heart structures through the chest wall in patients born with heart defects. This study includes visualization…6140590$120$350.5K
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.4959001,400$60$342.7K

    Showing 1–10 of 223

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Lpch Medical Group Div Of Lucile, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lucile Salter Packard Children's Hospital At StanfordCAChildren's Hospital$0$35.7M
    Jongsoo ParkCANeurological Surgery Physician$289.2K$0
    Emilie CheungCAOrthopaedic Hand Surgery Physician$194.8K$0
    Hans-christoph BeckerCADiagnostic Radiology Physician$179K$0
    John MacarthurCAThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$160.6K$0
    Yueyang GuoCADiagnostic Radiology Physician$150.3K$0
    Jeffrey YaoCAOrthopaedic Hand Surgery Physician$145.9K$0
    Venita ChandraCAVascular Surgery Physician$141.2K$0
    Bryan LanzmanCADiagnostic Neuroimaging (Radiology) Physician$135.7K$0
    Craig ComiterCAUrology Physician$134.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Lpch Medical Group Div Of Lucile, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Janet HallCANurse Practitioner$415.6K$0
    Anand VeeravaguCANeurological Surgery Physician$288.9K$0
    Erqi PollomCARadiation Oncology Physician$184.4K$0
    Neil FriedmanCAOphthalmology Physician$174K$0
    Yuan RaoCARadiation Oncology Physician$170.9K$0
    Jason LeeCAVascular Surgery Physician$141.6K$0
    Alexander ChinCARadiation Oncology Physician$126.4K$0
    Samer EldikaCAGastroenterology Physician$120.6K$0
    Douglas LiouCAThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$112.3K$0
    Michael FischbeinCAThoracic Surgery (Cardiothoracic Vascular Surgery) Physician$108.6K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. California Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    Lpch Medical Group Div Of Lucile — 16 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California