Physician
Cep America - Neurology PC
Cep America - Neurology PC was paid $43K by Medicaid between Jan 2018 and Jan 2023, across 5 billing codes. Its largest line is 99255, — 38% of everything it billed.
33Billing provider infoCEP AMERICA - NEUROLOGY PC
COLTON, CA 92324
COLTON, CA 92324
33aNPI1184155392assigned 03/21/2017
33bProvider typeNeurology Physician
28Total paid$43K
24GClaims999
24DCodes billed5
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers
Next to other Neurology Physician providers in California
Rank by total paid#155 of 296
Median peer was paid$50K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2018 | 720 | $31K | |
| 2019 | 230 | $10K | |
| 2020 | 30 | $823.24 | |
| 2023 | 19 | $665.71 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99255 | 38% | 203 | 200 | $16K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 38% | 511 | 295 | $16K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 21% | 240 | 124 | $9K |
| 99253 | 2.5% | 27 | 26 | $1K | |
| 95816 | 1.1% | 18 | 16 | $473.45 |
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 (CHIEF EXECUTIVE OFFICER)
| 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 | Riverside, CA | $23K |
| Cep America - Neurology PC | West Covina, CA | $7K |
| Cep America- Neurology, PC | Modesto, CA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.