Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Cep America LLC

Cep America LLC was paid $5.50M by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 55% of everything it billed.

33Billing provider infoCEP AMERICA LLC
EDMONDS, WA 98026
33aNPI1447484274assigned 05/07/2009
33bProvider typePhysician Assistant
28Total paid$5.50M
24GClaims79,997
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Physician Assistant providers in Washington

Rank by total paid#2 of 42
Median peer was paid$110K
This provider vs. median50×

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 BIRDSALL, DAVID 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
20189,577$520K
201913,304$770K
202010,073$618K
202111,705$766K
202212,261$838K
202312,712$1.08M
2024incomplete10,365$905K
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 55% 35,595 34,840 $3.02M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 33% 26,433 25,880 $1.80M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 12% 17,739 17,411 $670K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 30 29 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 200 183 $353.36

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 officialBIRDSALL, DAVID (COO)
Same official

Other billing entities under BIRDSALL, DAVID

Full network →
ProviderLocationPaid
Cep America - CaliforniaGilroy, CA$59.58M
Cep America - CaliforniaMoreno Valley, CA$32.76M
Cep America - CaliforniaModesto, CA$31.92M
Cep America - CaliforniaModesto, CA$25.97M
Cep America - CaliforniaSalinas, CA$22.20M
Cep America - CaliforniaSan Bernardino, CA$19.62M
Cep America - CaliforniaColton, CA$16.76M
Cep America - CaliforniaMarysville, CA$14.57M
Cep America - CaliforniaFrench Camp, CA$14.51M
Cep America - CaliforniaChula Vista, CA$14.39M
Cep America - CaliforniaPomona, CA$13.68M
Cep America - CaliforniaMontebello, CA$13.62M
Cep America - CaliforniaRedding, CA$13.32M
Cep America - CaliforniaAntioch, CA$12.62M
Cep America - CaliforniaMission Hills, CA$12.48M
Cep America - CaliforniaSan Bernardino, CA$12.30M
Cep America LLCBaltimore, MD$12.03M
Cep America - CaliforniaSanta Cruz, CA$12.00M
Cep America - CaliforniaSan Mateo, CA$11.52M
Cep America - CaliforniaRiverside, CA$10.50M

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