Medicaid Provider Spending

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

GALEN INPATIENT PHYSICIANS PC.

NPI: 1538714688 · FENTON, MO 63026 · Hospitalist Physician · NPI assigned 08/06/2019

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

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

$701K
Total Medicaid Paid
12,059
Total Claims
6,893
Beneficiaries
6
Codes Billed
2019-12
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBIRDSALL, DAVID (C.O.O)
NPI Enumeration Date08/06/2019

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
2019 24 $494.07
2020 1,901 $79K
2021 3,385 $164K
2022 1,383 $94K
2023 3,163 $215K
2024 2,203 $149K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 7,519 3,012 $360K
99223 Prolong inpt eval add15 m 2,776 2,410 $245K
99239 Hospital discharge day management, more than 30 minutes 1,052 987 $55K
99220 262 247 $21K
99232 Subsequent hospital care, per day, moderate complexity 401 190 $13K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 49 47 $7K