Medicaid Provider Spending

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

CEP AMERICA - CALIFORNIA

NPI: 1639124167 · MODESTO, CA 95350 · Emergency Medicine Physician · NPI assigned 05/23/2006

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

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

$25.97M
Total Medicaid Paid
493,719
Total Claims
482,545
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBIRDSALL, DAVID (CHIEF OPERATIONS OFFICER)
NPI Enumeration Date05/23/2006

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 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
CEP AMERICA - CALIFORNIA LOS BANOS CA $10.45M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 75,034 $3.84M
2019 90,211 $4.40M
2020 69,045 $3.53M
2021 67,077 $3.17M
2022 66,562 $3.16M
2023 76,141 $4.38M
2024 49,649 $3.47M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 114,041 111,327 $10.23M
99284 Emergency department visit for the evaluation and management, high severity 148,623 146,314 $9.00M
99283 Emergency department visit for the evaluation and management, moderate severity 119,408 117,353 $4.88M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 7,776 7,633 $914K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 65,895 62,329 $689K
71045 Radiologic examination, chest; single view 21,252 21,028 $122K
71046 Radiologic examination, chest; 2 views 15,868 15,730 $115K
99292 42 41 $4K
98960 140 127 $3K
12001 77 76 $1K
29125 80 79 $948.67
12011 54 54 $928.82
93308 25 25 $597.06
99282 Emergency department visit for the evaluation and management, low to moderate severity 29 28 $584.40
73130 121 116 $521.41
73630 101 101 $499.68
99281 Emergency department visit for the evaluation and management, self-limited or minor 39 38 $493.62
12002 16 16 $281.70
73610 51 49 $221.62
76705 Ultrasound, abdominal, real time with image documentation; limited 12 12 $180.78
29505 15 15 $173.72
74018 25 25 $141.72
29515 17 17 $71.36
73030 12 12 $16.12