Scke, INC

Scke, INC was paid $41K by Medicaid between May 2019 and Feb 2024, across 32 billing codes. Its largest line is 99490, Ccm add 20min — 41% of everything it billed.

33Billing provider infoSCKE, INC
LAGUNA HILLS, CA 92653

33aNPI1831144104assigned 05/24/2006

33bProvider typeFamily Medicine Physician

28Total paid$41K

24GClaims13,644

24DCodes billed32

24AFirst – last monthMay 2019 – Feb 2024

Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#903 of 2,511

Median peer was paid$13K

This provider vs. median3.2×

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
2019	834	$185.21
2020	3,115	$10K
2021	4,000	$16K
2022	3,332	$4K
2023	2,186	$6K
2024incomplete	177	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99490	Ccm add 20min	41%	2,891	2,806	$17K
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	30%	3,317	3,022	$12K
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	7.6%	747	716	$3K
98960		6.4%	336	326	$3K
76536		4.3%	316	315	$2K
99439		3.0%	281	281	$1K
G2058	Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)).	2.5%	102	102	$1K
99072		2.3%	170	163	$955.88
G0442	Annual alcohol misuse screening, 5 to 15 minutes	1.4%	558	551	$578.83
99443		<1%	23	23	$411.10
97803		<1%	64	59	$180.90
82962		<1%	257	245	$52.55

20 more codes

90674		<1%	72	$34.27
G0008	Administration of influenza virus vaccine	<1%	70	$24.04
80048	Basic metabolic panel (calcium, ionized)	<1%	135	$19.51
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	114	$18.95
36415	Collection of venous blood by venipuncture	<1%	172	$17.67
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	<1%	64	$12.50
83970		<1%	37	$7.53
84443	Thyroid stimulating hormone (TSH)	<1%	67	$6.93
84480		<1%	64	$5.86
82607		<1%	38	$4.53
84439		<1%	64	$3.72
80076		<1%	98	$3.33
83735		<1%	26	$1.60
80061	Lipid panel	<1%	24	$1.48
82746		<1%	13	$0.26
83036	Hemoglobin; glycosylated (A1C)	<1%	13	$0.17
G8754	Most recent diastolic blood pressure < 90 mmhg	0%	1,291	$0.00
1123F		0%	674	$0.00
1124F		0%	336	$0.00
G8752	Most recent systolic blood pressure < 140 mmhg	0%	1,210	$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 officialCHANG, KU-JUEY RAYMOND (CHIEF EXECUTIVE OFFICER)

Parent organizationKU-JUEY RAYMOND CHANG, INC.