Medicaid Provider Spending

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

CEP AMERICA - CALIFORNIA

NPI: 1215217088 · SAN BERNARDINO, CA 92411 · Emergency Medicine Physician · NPI assigned 08/24/2011

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

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

$19.62M
Total Medicaid Paid
429,256
Total Claims
419,523
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBIRDSALL, DAVID (CHIEF OPERATIONS OFFICER)
NPI Enumeration Date08/24/2011

Related Entities

Other providers sharing the same authorized official: BIRDSALL, DAVID

ProviderCityStateTotal Paid
CEP AMERICA - CALIFORNIA GILROY CA $59.58M
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 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 62,645 $3.63M
2019 92,788 $4.28M
2020 70,896 $2.80M
2021 58,101 $2.10M
2022 46,440 $1.83M
2023 53,913 $2.23M
2024 44,473 $2.74M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 152,914 150,332 $7.08M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 101,395 99,120 $6.74M
99283 Emergency department visit for the evaluation and management, moderate severity 124,506 121,649 $5.02M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 39,562 37,781 $502K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,033 2,006 $226K
71045 Radiologic examination, chest; single view 5,478 5,411 $22K
71046 Radiologic examination, chest; 2 views 2,739 2,693 $13K
99281 Emergency department visit for the evaluation and management, self-limited or minor 147 142 $6K
99282 Emergency department visit for the evaluation and management, low to moderate severity 40 36 $2K
71020 158 85 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 61 59 $463.12
71010 42 41 $264.76
76775 13 13 $0.00
73562 30 26 $0.00
73130 42 37 $0.00
76705 Ultrasound, abdominal, real time with image documentation; limited 12 12 $0.00
73030 27 25 $0.00
73610 27 27 $0.00
73630 30 28 $0.00