Medicaid Provider Spending

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

CEP AMERICA - CALIFORNIA

NPI: 1457304529 · CHULA VISTA, CA 91911 · Emergency Medicine Physician · NPI assigned 05/18/2006

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

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

$14.39M
Total Medicaid Paid
275,606
Total Claims
268,488
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBIRDSALL, DAVID (CHIEF OPERATIONS OFFICER)
NPI Enumeration Date05/18/2006

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 FRENCH CAMP CA $14.51M
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 40,073 $2.12M
2019 39,873 $1.57M
2020 39,342 $1.98M
2021 43,227 $2.27M
2022 36,440 $1.86M
2023 40,460 $2.42M
2024 36,191 $2.17M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 93,016 91,277 $7.46M
99284 Emergency department visit for the evaluation and management, high severity 55,235 54,492 $3.57M
99283 Emergency department visit for the evaluation and management, moderate severity 24,603 24,215 $1.26M
99223 Prolong inpt eval add15 m 10,076 9,900 $763K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 79,279 75,421 $653K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4,756 4,637 $446K
99497 3,015 2,987 $115K
99238 Hospital discharge day management, 30 minutes or less 1,570 1,555 $71K
99220 557 541 $28K
93042 3,499 3,463 $21K