Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Cep America - California

Cep America - California was paid $12.00M by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 46% of everything it billed.

33Billing provider infoCEP AMERICA - CALIFORNIA
SANTA CRUZ, CA 95065
33aNPI1811274483assigned 11/10/2011
28Total paid$12.00M
24GClaims130,206
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#43 of 988
Median peer was paid$32K
This provider vs. median378×

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$200K2018201920202021202220232024
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
201821,426$1.85M
201919,881$1.70M
202013,956$1.29M
202116,198$1.70M
202221,476$1.82M
202322,686$2.15M
2024incomplete14,583$1.49M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 46% 44,057 43,692 $5.46M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 37% 43,343 43,040 $4.41M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 17% 33,839 33,511 $2.02M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 458 457 $59K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 8,509 8,305 $52K

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 - CaliforniaSan Mateo, CA$11.52M
Cep America - CaliforniaRiverside, CA$10.50M
Cep America - CaliforniaLos Banos, CA$10.45M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.