Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CEP AMERICA - CALIFORNIA

NPI: 1093756025 · GILROY, CA 95020 · Emergency Medicine Physician · NPI assigned 06/09/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BIRDSALL, DAVID controls 20+ related entities in our dataset. Read more

$59.58M
Total Medicaid Paid
1,021,993
Total Claims
951,551
Beneficiaries
78
Codes Billed
2018-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBIRDSALL, DAVID (CHIEF OPERATIONS OFFICER)
NPI Enumeration Date06/09/2006

Related Entities

Other providers sharing the same authorized official: BIRDSALL, DAVID

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 36,625 $2.77M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 265,588 242,436 $24.87M
99284 Emergency department visit for the evaluation and management, high severity 264,886 249,301 $17.40M
99283 Emergency department visit for the evaluation and management, moderate severity 219,587 204,985 $10.63M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 22,721 21,908 $2.68M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 134,346 121,915 $1.59M
12001 3,723 3,702 $261K
71045 Radiologic examination, chest; single view 38,339 36,363 $238K
12002 2,646 2,630 $201K
12011 2,480 2,460 $181K
29125 2,838 2,753 $145K
10061 2,301 2,229 $135K
36556 1,741 1,697 $110K
31500 2,114 2,063 $106K
29515 1,777 1,725 $96K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,252 2,167 $84K
93308 3,350 3,302 $80K
10060 1,675 1,651 $71K
29505 1,060 1,045 $68K
12013 744 739 $62K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,630 2,452 $61K
71046 Radiologic examination, chest; 2 views 8,982 8,868 $55K
99292 802 768 $52K
92950 497 472 $49K
29105 666 646 $43K
76604 2,288 2,260 $34K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,177 2,165 $33K
29540 1,480 1,465 $25K
73130 3,158 3,033 $17K
73630 3,243 3,115 $17K
73610 2,608 2,527 $14K
73030 2,247 2,171 $14K
62270 207 205 $13K
11730 361 357 $12K
73562 2,294 2,162 $11K
29530 434 427 $10K
21310 222 217 $10K
72100 1,205 1,198 $9K
74018 1,417 1,398 $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) 147 133 $8K
73110 1,621 1,584 $8K
73590 1,457 1,381 $7K
73090 1,247 1,208 $6K
99152 173 170 $6K
73080 1,114 1,093 $6K
73502 906 884 $6K
26720 141 139 $5K
73564 844 799 $5K
23500 54 53 $4K
10160 62 61 $3K
12004 26 26 $3K
29130 113 111 $2K
73552 322 306 $2K
72170 478 473 $2K
24640 12 12 $2K
26750 28 28 $2K
23650 26 26 $1K
73060 325 316 $1K
72040 248 248 $1K
73120 256 244 $1K
69200 40 40 $1K
73600 162 153 $836.95
73620 183 178 $741.93
36620 13 13 $498.07
74019 51 51 $482.77
76700 Ultrasound, abdominal, real time with image documentation; complete 19 19 $459.54
29260 25 25 $423.84
73140 168 164 $400.07
76937 40 40 $355.34
73100 76 73 $325.72
72072 38 38 $208.43
73070 40 39 $205.93
73020 42 42 $203.70
73560 29 28 $122.50
70360 12 12 $59.64
99053 69 69 $0.00
25600 12 12 $0.00
94760 272 267 $0.00
74022 16 16 $0.00