Medicaid Provider Spending

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

GALEN INPATIENT PHYSICIANS PC

NPI: 1558042358 · LODI, CA 95240 · Hospitalist Physician · NPI assigned 07/26/2023

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

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

$279K
Total Medicaid Paid
7,640
Total Claims
4,816
Beneficiaries
6
Codes Billed
2023-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBIRDSALL, DAVID (CHIEF OPERATIONS OFFICER & VP)
NPI Enumeration Date07/26/2023

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
2023 2,051 $71K
2024 5,589 $208K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 4,840 2,163 $147K
99223 Prolong inpt eval add15 m 1,641 1,625 $91K
99239 Hospital discharge day management, more than 30 minutes 879 859 $32K
99232 Subsequent hospital care, per day, moderate complexity 252 142 $7K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 16 15 $1K
99238 Hospital discharge day management, 30 minutes or less 12 12 $221.84