Medicaid Provider Spending

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

CEP AMERICA - CALIFORNIA

NPI: 1780625871 · MISSION HILLS, CA 91345 · Emergency Medicine Physician · NPI assigned 06/09/2006

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

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

$12.48M
Total Medicaid Paid
264,010
Total Claims
254,682
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBIRDSALL, DAVID (CHIEF OPERATIONS OFFICER)
NPI Enumeration Date06/09/2006

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 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 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 50,943 $1.97M
2019 29,698 $1.17M
2020 25,106 $1.12M
2021 34,944 $1.80M
2022 42,562 $2.12M
2023 47,857 $2.72M
2024 32,900 $1.59M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 58,360 56,241 $4.49M
99284 Emergency department visit for the evaluation and management, high severity 81,444 79,028 $4.47M
99283 Emergency department visit for the evaluation and management, moderate severity 69,110 67,312 $2.65M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 5,331 5,188 $516K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 31,409 29,232 $285K
71045 Radiologic examination, chest; single view 14,772 14,212 $49K
29125 180 179 $5K
73630 837 806 $2K
73130 637 612 $2K
99281 Emergency department visit for the evaluation and management, self-limited or minor 32 29 $1K
72100 330 328 $1K
12001 39 39 $1K
73610 565 549 $1K
29515 55 54 $1K
73030 250 245 $811.36
99282 Emergency department visit for the evaluation and management, low to moderate severity 17 15 $772.56
93042 85 85 $484.15
73560 237 220 $404.37
71046 Radiologic examination, chest; 2 views 33 32 $249.75
73110 74 72 $223.11
73590 52 49 $184.48
74018 25 25 $128.17
73562 59 54 $125.76
73502 15 15 $52.85
73090 12 12 $38.40
73140 12 12 $34.84
72040 13 13 $33.92
29540 13 12 $21.85
72170 12 12 $15.14