Medicaid Provider Spending

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

CEP AMERICA - CALIFORNIA

NPI: 1215042338 · MORENO VALLEY, CA 92555 · Emergency Medicine Physician · NPI assigned 08/20/2006

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

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

$32.76M
Total Medicaid Paid
495,125
Total Claims
476,012
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBIRDSALL, DAVID (CHIEF OPERATIONS OFFICER)
NPI Enumeration Date08/20/2006

Related Entities

Other providers sharing the same authorized official: BIRDSALL, DAVID

ProviderCityStateTotal Paid
CEP AMERICA - CALIFORNIA GILROY CA $59.58M
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 34,028 $2.10M
2019 24,005 $1.39M
2020 24,159 $1.60M
2021 30,597 $2.12M
2022 30,317 $2.05M
2023 150,740 $10.00M
2024 201,279 $13.49M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 180,946 173,479 $16.50M
99284 Emergency department visit for the evaluation and management, high severity 185,652 178,993 $11.94M
99283 Emergency department visit for the evaluation and management, moderate severity 55,288 54,068 $2.58M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 8,934 8,711 $971K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 50,441 47,290 $623K
71045 Radiologic examination, chest; single view 7,591 7,330 $44K
93308 1,014 994 $22K
71046 Radiologic examination, chest; 2 views 2,226 2,202 $14K
12001 179 178 $14K
99282 Emergency department visit for the evaluation and management, low to moderate severity 302 285 $12K
76604 617 605 $7K
76705 Ultrasound, abdominal, real time with image documentation; limited 246 243 $4K
12002 30 30 $3K
73130 312 303 $2K
29125 26 26 $2K
73630 317 306 $2K
73030 258 250 $2K
31500 26 25 $1K
12011 24 24 $1K
73562 192 182 $928.32
10061 14 12 $780.00
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) 13 12 $747.11
72170 150 149 $675.46
73610 119 115 $657.71
72100 33 33 $260.61
73110 59 56 $232.33
73564 33 31 $212.30
73590 27 27 $127.66
73090 15 13 $95.70
74018 27 26 $79.27
94760 14 14 $0.00