What's badly needed here is a sensitivity analysis.
For example, he lists ZocDoc's CAC as in the range $1k to $10k.
If it's $1k then their LTV/CAC = 4.8 (wow good!)
If it's $10k then their LTV/CAC = 0.48 (wow horrid!)
The author chose $3k, seemingly arbitrarily.
There's nothing wrong with arbitrary assumptions in general, but in this case a lot more scrutiny is needed before we judge if its a unicorn or donkey.