Medicaid Provider Spending

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

CEP AMERICA LLC

NPI: 1619538055 · GARY, IN 46402 · Emergency Medicine Physician · NPI assigned 06/26/2019

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

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

$6.86M
Total Medicaid Paid
93,922
Total Claims
85,301
Beneficiaries
7
Codes Billed
2019-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBIRDSALL, DAVID (C.O.O)
NPI Enumeration Date06/26/2019

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 7,515 $398K
2020 14,869 $1.06M
2021 16,844 $1.22M
2022 19,199 $1.26M
2023 22,475 $1.71M
2024 13,020 $1.21M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 43,085 39,029 $3.05M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 26,474 24,026 $2.64M
99283 Emergency department visit for the evaluation and management, moderate severity 19,203 17,558 $749K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,848 2,606 $412K
93042 1,799 1,650 $5K
94760 419 352 $125.29
99053 94 80 $0.00