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.

Seventh-day Adventists Loma Linda University Medical Center (NPI 1912914821)

Field	Value
Entity Type	Organization
Organization	Seventh-day Adventists Loma Linda University Medical Center
Address	11234 Anderson St Rm 1150
City	Loma Linda
State	CA
ZIP	92354
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 2, 2006

Payer Source	Total Paid
Medicaid	$253.4M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $253.4M in lifetime Medicaid revenue, indicating Medicaid is effectively the sole public payer represented in the dataset. The NPI was enumerated on 2006-08-02 (~20 years ago), so this is a long-established facility operating primarily within Medicaid payer channels.

Revenue is highly concentrated: the precomputed top three Medicaid codes (0450, 99283, L8699) account for 62.3% of the provider's total Medicaid revenue. That concentration means a majority of Medicaid dollars are tied to a very small set of services and procedure lines, increasing exposure to utilization or reimbursement shifts affecting those codes.

The top revenue mix suggests a tertiary acute-care and high-acuity emergency operation with significant surgical/prosthetic and oncology activity. 0450 generates $64.9M (35.8% of Medicaid revenue) and 99283 generates $36.2M (20.0%), indicating heavy emergency department volume, while L8699 produces $11.7M (6.5%) consistent with a substantial prosthetic implant program; together these codes imply integrated inpatient/ED, surgical implant, and specialty procedural capacity.

The provider’s competitive standing varies by code: 0450 ranks #55 of 450 in-state (88th percentile) and is described as typical/unremarkable for the code, whereas 99283 ranks #95 of 1570 (94th percentile) and is noted as notably above typical state volume, signaling a strong ED presence. L8699 ranks #1 of 48 in-state (100th percentile) and is labeled an extreme outlier, showing the provider is uniquely dominant in prosthetic implant billing among peers.

Beyond the top three, the claim-level mix shows very large outpatient and infusion throughput: J3490 has 221.9K claims ($2.9M revenue) and J7050 has 96.5K claims ($1.5M revenue), while 97110 (86.5K claims, $2M) and G0463 (66.4K claims, $2.3M) also have high claim counts. Several of these lines (J3490 rank #1 of 1388, 97110 rank #23 of 2106, J7050 rank #1 of 395) are described as extreme outliers or well above typical state volumes, underscoring substantial clinic, infusion, and ancillary service volumes.

Oncology and high-cost medication administration are material revenue drivers: J9271 (pembrolizumab) contributes $11M and ranks #3 of 57 (96th percentile, notably above typical), J9312 (rituximab) contributes $3.4M and ranks #1 of 13 (100th percentile, notably above typical), and other oncology drugs J9035, J9355, and J2505 each add multi-million-dollar lines. Combined with a high-volume chemotherapy administration code (96413, $2.4M, 97th percentile), this pattern indicates a sizable cancer treatment and infusion program.

Advanced imaging and diagnostic testing are prominent parts of the case mix: 70553 ($5.3M, 97th percentile), 78815 ($5M, 92th percentile), 74177 ($1.9M, 96th percentile) and multiplex respiratory testing 87633 ($2.7M, 99th percentile) all rank notably above typical or extreme outlier levels in-state. These lines support the view that the provider operates significant radiology, nuclear medicine/PET-CT, CT, MRI and molecular testing capacity consistent with tertiary referral services.

From an operational and payer-mix perspective, the combination of no Medicare revenue and a $253.4M Medicaid footprint suggests the provider’s negotiation leverage and revenue exposure are concentrated within state Medicaid reimbursement policies and program decisions. Given the 62.3% revenue concentration in three codes and multiple other extreme-outlier code volumes, the provider has both a clearly defined clinical focus (ED, implants, oncology, high-throughput outpatient/infusion) and corresponding risk tied to changes in those specific service lines or drug reimbursements.

Medicaid: Complete Services Breakdown

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

682 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
0450	N/A	105,810	$610	$64.9M
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.	50,650	$710	$36.2M
L8699	Prosthetic implant, not otherwise specified	4,380	$2,670	$11.7M
J9271	Injection, pembrolizumab, 1 mg	3,890	$2,820	$11M
70553	In this procedure, the provider performs a magnetic resonance imaging, or MRI, study of the brain including the brain stem. He performs this procedure without using contrast material. He then follows…	8,220	$650	$5.3M
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.…	2,890	$1,720	$5M
S5102	Day care services, adult; per diem	55,320	$80	$4.4M
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	30,340	$130	$4M
0360	N/A	28,760	$130	$3.6M
J9312	Injection, rituximab, 10 mg	2,470	$1,380	$3.4M

Showing 1–10 of 682

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

Seventh-day Adventists Loma Linda University Medical Center — 14 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

682 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5102	Day care services, adult; per diem	238	350	108,330	$70	$9.4M
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	323	730	25,970	$150	$4.5M
0450	N/A	55	450	16,140	$90	$3.6M
J9271	Injection, pembrolizumab, 1 mg	3	60	240	$4,460	$3.4M
J9299	Injection, nivolumab, 1 mg	10	20	810	$3,160	$3.1M
0681	N/A	9	10	40	$7,220	$2.4M
77523	This code represents the technical component of a procedure in which the provider administers radiation therapy using a beam of protons to irradiate the cancer. The treatment performed is…	1	10	1,620	$1,320	$2.1M
J2350	Injection, ocrelizumab, 1 mg	3	10	30	$25,040	$1.7M
A0429	Ambulance service, basic life support, emergency transport (bls-emergency)	316	390	1,270	$220	$1.5M
J2323	Injection, natalizumab, 1 mg	3	10	270	$1,930	$1.5M

Showing 1–10 of 682

Related Providers

Other providers that share a Tax Identification Number (TIN) with Seventh-day Adventists Loma Linda University Medical Center, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Faculty Physicians And Surgeons Of Llusm	CA	Pediatrics Physician	$0	$66.4M
Faculty Physicians And Surgeons Of Llusm	CA	Surgery Physician	$0	$54.9M
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

Nearby Providers

Other providers in the same ZIP code as Seventh-day Adventists Loma Linda University Medical Center, ranked by combined Medicare and Medicaid revenue.

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

Seventh-day Adventists Loma Linda University Medical Center — Billing Profile & Reimbursement Data

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Seventh-day Adventists Loma Linda University Medical Center — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References