Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Cep America - California

Cep America - California was paid $174K by Medicaid between Jan 2018 and Oct 2024, across 3 billing codes. Its largest line is 99284, emergency room visit (serious) — 51% of everything it billed.

33Billing provider infoCEP AMERICA - CALIFORNIA
LOS GATOS, CA 95032
33aNPI1457306979assigned 05/23/2006
28Total paid$174K
24GClaims4,628
24DCodes billed3
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#304 of 988
Median peer was paid$32K
This provider vs. median5.5×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2018588$21K
2019309$10K
2020146$5K
2021362$12K
2022722$21K
20231,651$67K
2024incomplete850$38K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 51% 2,232 2,209 $89K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 29% 1,708 1,685 $51K
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 19% 688 683 $34K

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 (CHIEF OPERATIONS OFFICER)
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.