Clinic
Hoag Clinic
Hoag Clinic was paid $146K by Medicaid between Jun 2020 and Nov 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoHOAG CLINIC
NEWPORT BEACH, CA 92663
NEWPORT BEACH, CA 92663
33aNPI1942799523assigned 05/09/2018
33bProvider typeUrgent Care Clinic/Center
28Total paid$146K
24GClaims11,379
24DCodes billed21
24AFirst – last monthJun 2020 – Nov 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in California
Rank by total paid#144 of 284
Median peer was paid$147K
This provider vs. median1.0×
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 | 849 | $3K | |
| 2021 | 4,129 | $58K | |
| 2022 | 2,988 | $25K | |
| 2023 | 2,518 | $44K | |
| 2024incomplete | 895 | $16K |
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 | 26% | 4,155 | 3,825 | $38K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 17% | 731 | 604 | $25K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 2,194 | 2,062 | $17K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 8.6% | 462 | 461 | $13K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.2% | 649 | 622 | $9K |
| 99205 | Prolong outpt/office vis | 5.7% | 152 | 151 | $8K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 5.2% | 394 | 173 | $8K |
| 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 | 4.9% | 392 | 389 | $7K |
| 59025 | Fetal non-stress test | 3.3% | 654 | 283 | $5K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.3% | 183 | 110 | $5K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.3% | 181 | 179 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.9% | 354 | 162 | $4K |
9 more codes
| 99232 | Hospital visit by a doctor, follow-up day | 1.1% | 98 | $2K |
| 93000 | <1% | 62 | $547.09 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | <1% | 12 | $171.05 |
| 99000 | <1% | 158 | $128.84 | |
| 90662 | <1% | 118 | $90.53 | |
| 81002 | <1% | 229 | $64.73 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $36.60 |
| G0008 | Administration of influenza virus vaccine | <1% | 155 | $21.86 |
| 81003 | <1% | 32 | $5.81 |
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 officialGUARNI, ANDREW (SENIOR VICE PRESIDENT AND CFO)
Parent organizationHOAG MEMORIAL HOSPITAL PRESBYTERIAN