Agency
Scan Health Plan
Scan Health Plan was paid $645K by Medicaid between Jan 2018 and Dec 2021, across 11 billing codes. Its largest line is S5102, adult day care, billed per day — 44% of everything it billed.
33Billing provider infoSCAN HEALTH PLAN
SIGNAL HILL, CA 90755
SIGNAL HILL, CA 90755
33aNPI1447400767assigned 09/23/2008
33bProvider typeCase Management Agency
28Total paid$645K
24GClaims128,217
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Case Management Agency providers in California
Rank by total paid#74 of 167
Median peer was paid$395K
This provider vs. median1.6×
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 | 27,693 | $645K | |
| 2019 | 27,344 | $0.00 | |
| 2020 | 37,428 | $0.00 | |
| 2021 | 35,752 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5102 | Adult day care, billed per dayDay care services, adult; per diem | 44% | 3,920 | 3,897 | $287K |
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | 30% | 15,284 | 15,170 | $191K |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 9.3% | 78,833 | 5,805 | $60K |
| T2003 | Non-emergency transportation, per tripNon-emergency transportation; encounter/trip | 5.6% | 4,757 | 4,525 | $36K |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | 4.7% | 11,459 | 11,347 | $30K |
| G9012 | Other specified case management service not elsewhere classified | 3.6% | 105 | 100 | $23K |
| T1022 | Contracted home health agency services, all services provided under contract, per day | 2.0% | 2,019 | 1,961 | $13K |
| T2028 | Specialized supply, not otherwise specified, waiver | <1% | 2,750 | 2,663 | $3K |
| S5151 | Unskilled respite care, not hospice; per diem | <1% | 191 | 61 | $2K |
| 3103 | 0% | 324 | 310 | $0.00 | |
| T2022 | Case management, per month | 0% | 8,575 | 8,571 | $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 officialSCHMIDT, DAVID (CEO)
| Provider | Location | Paid |
|---|---|---|
| George J & Hilda Meyer Foundation, INC. | Higginsville, MO | $8K |
| Aswad Surgical Group, PC | Lincolnton, NC | $471.41 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.