Clinic
Somagen Healthcare INC
Somagen Healthcare INC was paid $1.41M by Medicaid between Jan 2018 and Jul 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoSOMAGEN HEALTHCARE INC
CHULA VISTA, CA 91910
CHULA VISTA, CA 91910
33aNPI1316225147assigned 07/27/2011
33bProvider typePrimary Care Clinic/Center
28Total paid$1.41M
24GClaims35,636
24DCodes billed16
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#45 of 422
Median peer was paid$25K
This provider vs. median58×
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 | 4,194 | $168K | |
| 2019 | 5,387 | $197K | |
| 2020 | 6,048 | $212K | |
| 2021 | 6,509 | $260K | |
| 2022 | 5,795 | $240K | |
| 2023 | 4,838 | $192K | |
| 2024incomplete | 2,865 | $145K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 41% | 7,071 | 6,795 | $581K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 40% | 6,137 | 6,109 | $566K |
| S9088 | Services provided in an urgent care center (list in addition to code for service) | 5.4% | 9,992 | 9,518 | $77K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.0% | 754 | 749 | $71K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.5% | 539 | 521 | $49K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.8% | 559 | 551 | $40K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 2,059 | 1,995 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,244 | 623 | $6K |
| 99000 | <1% | 2,097 | 2,060 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 745 | 739 | $3K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 170 | 166 | $2K |
| 99051 | <1% | 919 | 887 | $2K |
4 more codes
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 officialLAREAUX, DANIEL (MEDICAL DIRECTOR)
Parent organizationSOMAGEN HEALTHCARE INC
| Provider | Location | Paid |
|---|---|---|
| Somagen Healthcare INC | Santee, CA | $2.62M |
| Somagen Healthcare INC | San Diego, CA | $1.89M |
| Somagen Healthcare INC | San Diego, CA | $947K |
| Somagen Healthcare INC | San Diego, CA | $864K |
| Somagen Healthcare INC | Granada Hills, CA | $417K |
| Somagen Healthcare INC | San Diego, CA | $99K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.