Physician
Cep America - California
Cep America - California was paid $59.58M by Medicaid between Apr 2018 and Nov 2024, across 78 billing codes. Its largest line is 99285, emergency room visit (most serious) — 42% of everything it billed.
33Billing provider infoCEP AMERICA - CALIFORNIA
GILROY, CA 95020
GILROY, CA 95020
33aNPI1093756025assigned 06/09/2006
33bProvider typeEmergency Medicine Physician
28Total paid$59.58M
24GClaims1,021,993
24DCodes billed78
24AFirst – last monthApr 2018 – Nov 2024
Compared with peers
Next to other Emergency Medicine Physician providers in California
Rank by total paid#1 of 988
Median peer was paid$32K
This provider vs. median1,878×
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 BIRDSALL, DAVID 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 | |
|---|---|---|---|
| 2018 | 19,265 | $1.12M | |
| 2019 | 201,260 | $11.30M | |
| 2020 | 174,257 | $9.82M | |
| 2021 | 198,472 | $11.42M | |
| 2022 | 239,996 | $13.51M | |
| 2023 | 152,118 | $9.64M | |
| 2024incomplete | 36,625 | $2.77M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 42% | 265,588 | 242,436 | $24.87M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 29% | 264,886 | 249,301 | $17.40M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 18% | 219,587 | 204,985 | $10.63M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 4.5% | 22,721 | 21,908 | $2.68M |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.7% | 134,346 | 121,915 | $1.59M |
| 12001 | <1% | 3,723 | 3,702 | $261K | |
| 71045 | Radiologic examination, chest; single view | <1% | 38,339 | 36,363 | $238K |
| 12002 | <1% | 2,646 | 2,630 | $201K | |
| 12011 | <1% | 2,480 | 2,460 | $181K | |
| 29125 | <1% | 2,838 | 2,753 | $145K | |
| 10061 | <1% | 2,301 | 2,229 | $135K | |
| 36556 | <1% | 1,741 | 1,697 | $110K |
66 more codes
| 31500 | <1% | 2,114 | $106K | |
| 29515 | <1% | 1,777 | $96K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 2,252 | $84K |
| 93308 | <1% | 3,350 | $80K | |
| 10060 | <1% | 1,675 | $71K | |
| 29505 | <1% | 1,060 | $68K | |
| 12013 | <1% | 744 | $62K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 2,630 | $61K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 8,982 | $55K |
| 99292 | <1% | 802 | $52K | |
| 92950 | <1% | 497 | $49K | |
| 29105 | <1% | 666 | $43K | |
| 76604 | <1% | 2,288 | $34K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 2,177 | $33K |
| 29540 | <1% | 1,480 | $25K | |
| 73130 | <1% | 3,158 | $17K | |
| 73630 | <1% | 3,243 | $17K | |
| 73610 | <1% | 2,608 | $14K | |
| 73030 | <1% | 2,247 | $14K | |
| 62270 | <1% | 207 | $13K | |
| 11730 | <1% | 361 | $12K | |
| 73562 | <1% | 2,294 | $11K | |
| 29530 | <1% | 434 | $10K | |
| 21310 | <1% | 222 | $10K | |
| 72100 | <1% | 1,205 | $9K | |
| 74018 | <1% | 1,417 | $9K | |
| G2213 | Initiation of medication for the treatment of opioid use disorder in the emergency department setting, including assessment, referral to ongoing care, and arranging access to supportive services (list separately in addition to code for primary procedure) | <1% | 147 | $8K |
| 73110 | <1% | 1,621 | $8K | |
| 73590 | <1% | 1,457 | $7K | |
| 73090 | <1% | 1,247 | $6K | |
| 99152 | <1% | 173 | $6K | |
| 73080 | <1% | 1,114 | $6K | |
| 73502 | <1% | 906 | $6K | |
| 26720 | <1% | 141 | $5K | |
| 73564 | <1% | 844 | $5K | |
| 23500 | <1% | 54 | $4K | |
| 10160 | <1% | 62 | $3K | |
| 12004 | <1% | 26 | $3K | |
| 29130 | <1% | 113 | $2K | |
| 73552 | <1% | 322 | $2K | |
| 72170 | <1% | 478 | $2K | |
| 24640 | <1% | 12 | $2K | |
| 26750 | <1% | 28 | $2K | |
| 23650 | <1% | 26 | $1K | |
| 73060 | <1% | 325 | $1K | |
| 72040 | <1% | 248 | $1K | |
| 73120 | <1% | 256 | $1K | |
| 69200 | <1% | 40 | $1K | |
| 73600 | <1% | 162 | $836.95 | |
| 73620 | <1% | 183 | $741.93 | |
| 36620 | <1% | 13 | $498.07 | |
| 74019 | <1% | 51 | $482.77 | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 19 | $459.54 |
| 29260 | <1% | 25 | $423.84 | |
| 73140 | <1% | 168 | $400.07 | |
| 76937 | <1% | 40 | $355.34 | |
| 73100 | <1% | 76 | $325.72 | |
| 72072 | <1% | 38 | $208.43 | |
| 73070 | <1% | 40 | $205.93 | |
| 73020 | <1% | 42 | $203.70 | |
| 73560 | <1% | 29 | $122.50 | |
| 70360 | <1% | 12 | $59.64 | |
| 99053 | 0% | 69 | $0.00 | |
| 25600 | 0% | 12 | $0.00 | |
| 94760 | 0% | 272 | $0.00 | |
| 74022 | 0% | 16 | $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 officialBIRDSALL, DAVID (CHIEF OPERATIONS OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Cep America - California | Moreno Valley, CA | $32.76M |
| Cep America - California | Modesto, CA | $31.92M |
| Cep America - California | Modesto, CA | $25.97M |
| Cep America - California | Salinas, CA | $22.20M |
| Cep America - California | San Bernardino, CA | $19.62M |
| Cep America - California | Colton, CA | $16.76M |
| Cep America - California | Marysville, CA | $14.57M |
| Cep America - California | French Camp, CA | $14.51M |
| Cep America - California | Chula Vista, CA | $14.39M |
| Cep America - California | Pomona, CA | $13.68M |
| Cep America - California | Montebello, CA | $13.62M |
| Cep America - California | Redding, CA | $13.32M |
| Cep America - California | Antioch, CA | $12.62M |
| Cep America - California | Mission Hills, CA | $12.48M |
| Cep America - California | San Bernardino, CA | $12.30M |
| Cep America LLC | Baltimore, MD | $12.03M |
| Cep America - California | Santa Cruz, CA | $12.00M |
| Cep America - California | San Mateo, CA | $11.52M |
| Cep America - California | Riverside, CA | $10.50M |
| Cep America - California | Los Banos, CA | $10.45M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.