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

Cep America LLC

Cep America LLC was paid $3.91M by Medicaid between Dec 2019 and Nov 2024, across 5 billing codes. Its largest line is 99285, emergency room visit (most serious) — 62% of everything it billed.

33Billing provider infoCEP AMERICA LLC
BRIDGETON, MO 63044
33aNPI1851946370assigned 08/02/2019
28Total paid$3.91M
24GClaims44,237
24DCodes billed5
24AFirst – last monthDec 2019 – Nov 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Missouri

Rank by total paid#9 of 571
Median peer was paid$14K
This provider vs. median276×

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$50K$100K$150K2018201920202021202220232024
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
2019437$27K
20206,422$414K
20218,696$627K
20229,896$913K
202310,801$1.16M
2024incomplete7,985$762K
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 62% 25,703 24,409 $2.43M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 27% 12,892 12,333 $1.04M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 9.0% 2,181 2,093 $352K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 2.2% 2,002 1,928 $87K
93042 <1% 1,459 1,368 $5K

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 (C.O.O)
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 - 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
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.