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

Cep America LLC

Cep America LLC was paid $4.26M by Medicaid between Aug 2023 and Dec 2024, across 13 billing codes. Its largest line is 99284, emergency room visit (serious) — 57% of everything it billed.

33Billing provider infoCEP AMERICA LLC
SAGINAW, MI 48601
33aNPI1912687328assigned 07/20/2023
28Total paid$4.26M
24GClaims66,730
24DCodes billed13
24AFirst – last monthAug 2023 – Dec 2024
Compared with peers

Next to other Emergency Medicine Physician providers in Michigan

Rank by total paid#27 of 248
Median peer was paid$57K
This provider vs. median75×

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$200K$400K2018201920202021202220232024
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
202323,408$1.51M
2024incomplete43,322$2.74M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 57% 34,949 32,390 $2.42M
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 34% 19,607 17,829 $1.46M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 4.2% 2,592 2,555 $178K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3.1% 1,057 1,023 $130K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 7,317 6,776 $34K
12001 <1% 479 479 $13K
12002 <1% 234 232 $8K
12011 <1% 210 208 $7K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 92 90 $6K
10060 <1% 99 95 $6K
10061 <1% 16 15 $1K
29125 <1% 51 51 $1K
1 more codes
99053 0% 27 $0.00

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 - 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.