Medhero San Clemente, a Professional Medical Corporation

Medhero San Clemente, a Professional Medical Corporation was paid $320K by Medicaid between Jun 2020 and Nov 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.

33Billing provider infoMEDHERO SAN CLEMENTE, A PROFESSIONAL MEDICAL CORPORATION
SAN CLEMENTE, CA 92673

33aNPI1558736520assigned 12/02/2015

33bProvider typeUrgent Care Clinic/Center

28Total paid$320K

24GClaims4,786

24DCodes billed12

24AFirst – last monthJun 2020 – Nov 2024

Compared with peers

Next to other Urgent Care Clinic/Center providers in California

Rank by total paid#117 of 284

Median peer was paid$147K

This provider vs. median2.2×

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
2020	236	$25K
2021	1,459	$99K
2022	1,292	$82K
2023	1,504	$85K
2024incomplete	295	$29K

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	69%	2,215	1,880	$221K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	24%	739	722	$78K
99070		4.9%	637	590	$16K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.1%	37	34	$4K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	305	266	$558.63
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	225	210	$437.49
71046	Radiologic examination, chest; 2 views	<1%	12	12	$307.45
99000		<1%	350	334	$94.92
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	41	38	$14.41
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	150	64	$14.34
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	26	26	$5.66
81003		<1%	49	44	$1.58

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 officialMORENO, GREGORY (PRESIDENT)