Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Cep America-Arizona, PC

Cep America-Arizona, PC was paid $4.93M by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 81% of everything it billed.

33Billing provider infoCEP AMERICA-ARIZONA, PC
SUN CITY, AZ 85351
33aNPI1124491477assigned 11/09/2015
28Total paid$4.93M
24GClaims77,408
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Arizona

Rank by total paid#19 of 124
Median peer was paid$16K
This provider vs. median303×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201810,550$561K
201910,055$522K
20208,081$442K
202111,556$784K
202211,729$806K
202313,996$989K
2024incomplete11,441$825K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 81% 40,090 38,726 $4.00M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 13% 7,621 7,481 $627K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3.0% 27,145 26,029 $150K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 1.8% 1,945 1,887 $87K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1.4% 607 582 $71K

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 (VICE PRESIDENT OF OPERATIONS)
Same official

Other billing entities under KOURY, THEOPHILE

Full network →
ProviderLocationPaid
Vituity - Nevada Koury & Partners PLLCLas Vegas, NV$6.72M
Cep America-Arizona, PCSun City, AZ$5.32M
Cep America LLCPortland, OR$2.91M
Vituity Hospitalists PCRedding, CA$2.50M
Vituity Hospitalists PCSan Francisco, CA$1.93M
Cep America - Kansas LLCWichita, KS$1.76M
Vituity - Nevada Koury & Partners PLLCHenderson, NV$1.57M
Vituity - Nevada Koury & Partners PLLCHenderson, NV$1.33M
Cep America - Kansas LLCWichita, KS$1.18M
Cep America, LLCSaint Louis, MO$265K
Cep America, LLCKansas City, MO$99K
Cep America - CaliforniaSan Clemente, CA$59K
Cep America - Kansas LLCDerby, KS$49K
Vituity Hospitalists PCFresno, CA$46K
Galen Inpatient Physicians, INC.Passaic, NJ$46K
Cep America - Kansas LLCWichita, KS$43K
Cep America - Neurology PCColton, CA$43K
Cep America - Neurology PCRiverside, CA$23K
Cep America - Neurology PCWest Covina, CA$7K
Cep America- Neurology, PCModesto, CA$5K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.