Clinic
Laguna Beach Urgent Care, INC.
Laguna Beach Urgent Care, INC. was paid $45K by Medicaid between Feb 2023 and Sep 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.
33Billing provider infoLAGUNA BEACH URGENT CARE, INC.
LAGUNA BEACH, CA 92651
LAGUNA BEACH, CA 92651
33aNPI1710340559assigned 03/30/2016
33bProvider typeUrgent Care Clinic/Center
28Total paid$45K
24GClaims1,273
24DCodes billed4
24AFirst – last monthFeb 2023 – Sep 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in California
Rank by total paid#200 of 284
Median peer was paid$147K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2023 | 1,143 | $39K | |
| 2024incomplete | 130 | $7K |
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 | 72% | 501 | 372 | $32K |
| 99070 | 15% | 344 | 314 | $7K | |
| 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 | 13% | 80 | 69 | $6K |
| 94760 | <1% | 348 | 322 | $82.22 |
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 officialSHOMER, MARC (CEO)
| Provider | Location | Paid |
|---|---|---|
| Pasadena Urgent Care, INC | Pasadena, CA | $167K |
| Marc H. Shomer, MD, PHD, INC | Upland, CA | $60K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.