Medicaid Provider Spending

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

CEP AMERICA - CALIFORNIA

NPI: 1558511147 · VISALIA, CA 93291 · Emergency Medicine Physician · NPI assigned 09/19/2008

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

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

$10.02M
Total Medicaid Paid
251,190
Total Claims
246,116
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBIRDSALL, DAVID (CHIEF OPERATIONS OFFICER)
NPI Enumeration Date09/19/2008

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 30,436 $975K
2019 19,274 $833K
2020 17,060 $806K
2021 32,797 $1.51M
2022 49,796 $1.88M
2023 56,914 $2.19M
2024 44,913 $1.82M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 93,306 91,617 $5.30M
99284 Emergency department visit for the evaluation and management, high severity 75,055 73,890 $2.98M
99283 Emergency department visit for the evaluation and management, moderate severity 27,518 26,954 $810K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 7,060 6,983 $570K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 47,664 46,105 $352K
93308 248 241 $5K
76705 Ultrasound, abdominal, real time with image documentation; limited 144 140 $2K
76604 159 150 $2K
12011 12 12 $920.20
12001 12 12 $890.31
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12 12 $216.45