Physician
James Scalone DO Incorporated
James Scalone DO Incorporated was paid $120K by Medicaid between Jan 2018 and May 2023, across 9 billing codes. Its largest line is 99205, Prolong outpt/office vis — 41% of everything it billed.
33Billing provider infoJAMES SCALONE DO INCORPORATED
SAN DIEGO, CA 92109
SAN DIEGO, CA 92109
33aNPI1295908721assigned 04/04/2008
33bProvider typeOrthopaedic Surgery Physician
28Total paid$120K
24GClaims1,312
24DCodes billed9
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Orthopaedic Surgery Physician providers in California
Rank by total paid#95 of 292
Median peer was paid$24K
This provider vs. median5.1×
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 | 38 | $4K | |
| 2019 | 493 | $40K | |
| 2020 | 183 | $16K | |
| 2021 | 160 | $13K | |
| 2022 | 392 | $45K | |
| 2023 | 46 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99205 | Prolong outpt/office vis | 41% | 396 | 395 | $49K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 32% | 429 | 409 | $39K |
| 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 | 20% | 276 | 273 | $24K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.7% | 49 | 48 | $3K |
| 20610 | 1.9% | 66 | 52 | $2K | |
| 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 | 1.1% | 27 | 27 | $1K |
| 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% | 41 | 41 | $972.57 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 16 | 14 | $0.00 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 12 | 12 | $0.00 |
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 officialSCALONE, JAMES (CEO)