Physician
Cep America- Neurology, PC
Cep America- Neurology, PC was paid $5K by Medicaid between Sep 2020 and Feb 2024, across 3 billing codes. Its largest line is 99255, — 55% of everything it billed.
33Billing provider infoCEP AMERICA- NEUROLOGY, PC
MODESTO, CA 95355
MODESTO, CA 95355
33aNPI1073028569assigned 12/06/2017
33bProvider typeNeurology Physician
28Total paid$5K
24GClaims109
24DCodes billed3
24AFirst – last monthSep 2020 – Feb 2024
Compared with peers
Next to other Neurology Physician providers in California
Rank by total paid#221 of 296
Median peer was paid$50K
This provider vs. median0.1×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official KOURY, THEOPHILE controls 20+ related entities in our dataset. Read more
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 | 65 | $3K | |
| 2021 | 15 | $550.61 | |
| 2023 | 14 | $1K | |
| 2024incomplete | 15 | $448.84 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99255 | 55% | 41 | 41 | $3K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 24% | 34 | 24 | $1K |
| 95816 | 21% | 34 | 32 | $992.45 |
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 officialKOURY, THEOPHILE (CEO)
| Provider | Location | Paid |
|---|---|---|
| Vituity - Nevada Koury & Partners PLLC | Las Vegas, NV | $6.72M |
| Cep America-Arizona, PC | Sun City, AZ | $5.32M |
| Cep America-Arizona, PC | Sun City, AZ | $4.93M |
| Cep America LLC | Portland, OR | $2.91M |
| Vituity Hospitalists PC | Redding, CA | $2.50M |
| Vituity Hospitalists PC | San Francisco, CA | $1.93M |
| Cep America - Kansas LLC | Wichita, KS | $1.76M |
| Vituity - Nevada Koury & Partners PLLC | Henderson, NV | $1.57M |
| Vituity - Nevada Koury & Partners PLLC | Henderson, NV | $1.33M |
| Cep America - Kansas LLC | Wichita, KS | $1.18M |
| Cep America, LLC | Saint Louis, MO | $265K |
| Cep America, LLC | Kansas City, MO | $99K |
| Cep America - California | San Clemente, CA | $59K |
| Cep America - Kansas LLC | Derby, KS | $49K |
| Vituity Hospitalists PC | Fresno, CA | $46K |
| Galen Inpatient Physicians, INC. | Passaic, NJ | $46K |
| Cep America - Kansas LLC | Wichita, KS | $43K |
| Cep America - Neurology PC | Colton, CA | $43K |
| Cep America - Neurology PC | Riverside, CA | $23K |
| Cep America - Neurology PC | West Covina, CA | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.