Medicaid Provider Spending

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

CEP AMERICA LLC

NPI: 1336805563 · EAST CHICAGO, IN 46312 · Emergency Medicine Physician · NPI assigned 11/11/2021

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

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

$3.66M
Total Medicaid Paid
42,040
Total Claims
37,947
Beneficiaries
5
Codes Billed
2022-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBIRDSALL, DAVID (COO)
NPI Enumeration Date11/11/2021

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 SAN BERNARDINO CA $19.62M
CEP AMERICA - CALIFORNIA COLTON CA $16.76M
CEP AMERICA - CALIFORNIA MARYSVILLE CA $14.57M
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
2022 15,103 $1.06M
2023 15,962 $1.40M
2024 10,975 $1.20M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 14,696 13,391 $1.64M
99284 Emergency department visit for the evaluation and management, high severity 18,587 16,808 $1.44M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,456 2,179 $351K
99283 Emergency department visit for the evaluation and management, moderate severity 5,756 5,061 $226K
93042 545 508 $1K