Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › San Jose › NPI 1568417079
Physician

Cep America - California

Cep America - California was paid $3.35M by Medicaid between Jan 2018 and Oct 2019, across 11 billing codes. Its largest line is 99283, emergency room visit (moderate) — 38% of everything it billed.

33Billing provider infoCEP AMERICA - CALIFORNIA
SAN JOSE, CA 95116
33aNPI1568417079assigned 05/23/2006
28Total paid$3.35M
24GClaims113,106
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#140 of 988
Median peer was paid$32K
This provider vs. median106×

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$100K$200K$300K2018201920202021202220232024
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
201869,949$2.02M
201943,157$1.33M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 38% 42,095 41,578 $1.28M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 31% 21,960 21,636 $1.05M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 26% 23,625 23,282 $870K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3.3% 16,972 15,506 $110K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 611 600 $29K
71045 Radiologic examination, chest; single view <1% 7,578 7,525 $9K
71010 <1% 90 90 $941.18
71046 Radiologic examination, chest; 2 views <1% 72 72 $112.74
29125 0% 74 71 $0.00
12001 0% 12 12 $0.00
99282 Emergency department visit for the evaluation and management, low to moderate severity 0% 17 17 $0.00

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.