Clinic
Laguna Beach Community Clinic, INC.
Laguna Beach Community Clinic, INC. was paid $4.19M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 87% of everything it billed.
33Billing provider infoLAGUNA BEACH COMMUNITY CLINIC, INC.
LAGUNA BEACH, CA 92651
LAGUNA BEACH, CA 92651
33aNPI1225149222assigned 08/31/2006
33bProvider typeCommunity Health Clinic/Center
28Total paid$4.19M
24GClaims58,838
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Community Health Clinic/Center providers in California
Rank by total paid#102 of 288
Median peer was paid$2.15M
This provider vs. median1.9×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,681 | $112K | |
| 2019 | 3,586 | $383K | |
| 2020 | 7,291 | $535K | |
| 2021 | 10,021 | $703K | |
| 2022 | 8,094 | $591K | |
| 2023 | 11,221 | $769K | |
| 2024incomplete | 16,944 | $1.10M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 87% | 22,605 | 18,348 | $3.64M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.0% | 17,177 | 13,171 | $335K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.9% | 4,349 | 3,615 | $78K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 790 | 345 | $39K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,542 | 1,173 | $29K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 1,104 | 908 | $16K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 129 | 96 | $8K |
| 97803 | <1% | 268 | 258 | $7K | |
| 97802 | <1% | 222 | 218 | $7K | |
| 99000 | <1% | 5,097 | 4,315 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,722 | 1,347 | $6K |
| 99205 | Prolong outpt/office vis | <1% | 92 | 66 | $6K |
25 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 88 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 180 | $4K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 76 | $2K |
| 90746 | <1% | 34 | $2K | |
| 92552 | <1% | 189 | $980.52 | |
| 81025 | <1% | 535 | $862.23 | |
| 90715 | <1% | 35 | $769.41 | |
| G0466 | Community health center visit, new patient | <1% | 17 | $737.09 |
| 92499 | <1% | 217 | $567.72 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | $558.16 |
| 90658 | <1% | 334 | $523.26 | |
| 0011A | <1% | 19 | $268.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 75 | $237.98 |
| 81002 | <1% | 495 | $184.61 | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 12 | $168.00 |
| 85018 | <1% | 232 | $162.46 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 57 | $97.22 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 15 | $90.40 |
| 99173 | <1% | 12 | $47.98 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 13 | $0.00 |
| 0521 | 0% | 27 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 28 | $0.00 |
| 99441 | 0% | 799 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 223 | $0.00 |
| 91301 | 0% | 17 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialRUBAL, JORGE (CEO/CMO)